| Date of birth: | Jan 15, 1939 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00003783 |
| Booking number: | 2000004557 |
| Booking date: | May 27, 2000 |
| Release date: | May 28, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | May 27, 2000 |
| Bond amount: | $500 |