| Date of birth: | Dec 15, 1948 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00022936 |
| Booking number: | 2005002419 |
| Booking date: | Mar 23, 2005 |
| Release date: | Mar 31, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - ESCAMBIA CO FTA/NVDL |
| Offense date: | Mar 23, 2005 |
| Case number: | 3617AUGTFC |
| Bond amount: | $1,500 |