| Date of birth: | Oct 29, 1936 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00004420 |
| Booking number: | 2000005462 |
| Booking date: | Jul 3, 2000 |
| Release date: | Jul 5, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGGRAVATED ASSAULT |
| Offense date: | Jul 3, 2000 |
| Bond amount: | $5,000 |