| Date of birth: | Oct 1, 1932 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00037673 |
| Booking date: | Oct 28, 2008 |
| Release date: | Oct 29, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGGRAVATED ASSAULT/DOMV |
| Offense date: | Oct 27, 2008 |
| Case number: | 08-11873 |
| Statute: | 784.03-1a1 - BATTERY/DOMV |
| Offense date: | Oct 27, 2008 |
| Case number: | 08-11873 |