| Date of birth: | Jan 2, 1931 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00010973 |
| Booking number: | 2002000561 |
| Booking date: | Jan 26, 2002 |
| Release date: | Jan 27, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08 - BATTERY ON PERSONS 65 YEARS OF AGE OR OLDER |
| Offense date: | Jan 26, 2002 |
| Bond amount: | $1,500 |