| Date of birth: | Nov 22, 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00033666 |
| Booking number: | 2007007811 |
| Booking date: | Sep 22, 2007 |
| Release date: | Sep 23, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD ABUSE |
| Offense date: | Sep 22, 2007 |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Sep 22, 2007 |