| Date of birth: | Feb 17, 1945 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00005605 |
| Booking date: | Sep 21, 2000 |
| Release date: | Sep 21, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13 - CRIMINAL MISCHIEF |
| Offense date: | Sep 21, 2000 |
| Bond amount: | $3,500 |
| Statute: | 843.01 - RESIST WITH VIOLENCE |
| Offense date: | Sep 21, 2000 |
| Bond amount: | $3,500 |