| Date of birth: | Oct 14, 1945 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00016142 |
| Booking date: | Jul 6, 2003 |
| Release date: | Jul 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POSSESSION OF PARAPHENALIA |
| Offense date: | Jul 6, 2003 |
| Bond amount: | $750 |
| Statute: | 893.13 - POSS OF MARIJUANA UNDER 20 GRAMS |
| Offense date: | Jul 6, 2003 |
| Bond amount: | $750 |