| Date of birth: | Sep 21, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00029331 |
| Booking date: | Sep 1, 2006 |
| Release date: | Sep 1, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - THEFT |
| Offense date: | Sep 1, 2006 |
| Bond amount: | $500 |
| Statute: | 322.34 - DWSLR |
| Offense date: | Sep 1, 2006 |
| Bond amount: | $500 |