| Date of birth: | May 22, 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00003602 |
| Booking date: | May 18, 2000 |
| Release date: | May 18, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VIOLATE PROBATION/WORTHLESS CHECKS |
| Offense date: | May 18, 2000 |
| Bond amount: | $231 |