| Date of birth: | Nov 10, 1937 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00027038 |
| Booking number: | 2006001508 |
| Booking date: | Feb 22, 2006 |
| Release date: | Feb 22, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY |
| Offense date: | Feb 22, 2006 |
| Bond amount: | $500 |