| Date of birth: | Dec 9, 1942 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 166800 |
| Booking location: | Leon County, FL |
| Statute: | 843.02 |
| Release date: | May 7, 2004 |
| Offense date: | May 7, 2004 |
| Clerk case: | 2004MM3651A1 |
| Charge literal: | RESIST OFFICER OBSTRUCT WO VIOLENCE |
| Booking date: | May 7, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04-14938 |