| Date of birth: | Mar 22, 1932 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00010035 |
| Booking date: | Oct 24, 2001 |
| Release date: | Oct 24, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - COMMIT CIVIL(PURGE $1479.54) OR 10 DAYS |
| Offense date: | Oct 24, 2001 |
| Case number: | 01-86CC |