| Date of birth: | Nov 18, 1917 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00002392 |
| Booking date: | Feb 29, 2000 |
| Release date: | Feb 29, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 790.10 - IMPROPER EXHIBIT FIREARM/DANGEROUS WEAPON |
| Offense date: | Feb 29, 2000 |
| Bond amount: | $1,000 |