| Date of birth: | Aug 24, 1945 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00003529 |
| Booking number: | 2004004204 |
| Booking date: | Jun 13, 2004 |
| Release date: | Jun 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 790.23 - POSS OF FIREARM BY CONVICTED FELON |
| Offense date: | Jun 13, 2004 |
| Case number: | 04CF1320 |
| Bond amount: | $2,500 |