| Date of birth: | Jul 27, 1921 |
| Hair: | Salt/pepper |
| Eyes: | Blue |
| Number: | 00034408 |
| Booking date: | Dec 6, 2007 |
| Release date: | Dec 14, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.135 - TRAFF CONTROLLED SUB(HYDROCODONE MORE THAN 14 GM) |
| Offense date: | Dec 6, 2007 |
| Bond amount: | $5,000 |
| Statute: | 893.135 - TRAFF CONTROLLED SUB(HYDROCODONE MORE THAN 4 GM) |
| Offense date: | Dec 6, 2007 |
| Bond amount: | $5,000 |
