| Date of birth: | Aug 1, 1935 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00000714 |
| Booking number: | 2003001383 |
| Booking date: | Mar 7, 2003 |
| Release date: | Mar 7, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/SELL MANUFACTURE POSS W/INTENT TO SELL CONT SUB |
| Offense date: | Mar 7, 2003 |
| Case number: | 99-340/1870 |