| Date of birth: | Oct 22, 1943 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 167815 |
| Booking location: | Leon County, FL |
| Statute: | 320.061 |
| Release date: | Jun 26, 2004 |
| Offense date: | Jun 26, 2004 |
| Clerk case: | 2004CT4277A1 |
| Charge literal: | FTA/FORGERY OF ALTER LICENSE PLATE VALIDATION STICKER |
| Booking date: | Jun 26, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Bond amount: | $300 |
| Agency report: | 04-134283 |