| Date of birth: | Jul 21, 1940 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 99733 |
| Booking location: | Leon County, FL |
| Statute: | 784.03 |
| Release date: | Jul 14, 1996 |
| Offense date: | Jul 14, 1996 |
| Clerk case: | 1996MM9394A1 |
| Charge literal: | BATTERY///DOMESTIC |
| Booking date: | Jul 14, 1996 |
| Booking agency: | OTHERS |
| Agency report: | SO96082579 |