| Date of birth: | Jun 17, 1947 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00016716 |
| Booking number: | 2003005358 |
| Booking date: | Aug 28, 2003 |
| Release date: | Aug 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Aug 28, 2003 |