| Date of birth: | Apr 4, 1941 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00047428 |
| Booking number: | 2012003050 |
| Booking date: | Jun 2, 2012 |
| Release date: | Jun 3, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08-2b - AGGRAVATED ASSAULT ON PERSON 65 YEARS OF AGE OR OLDER |
| Offense date: | Jun 2, 2012 |
| Bond amount: | $2,000 |
| Arrest date: | Jun 2, 2012 |
