| Date of birth: | Dec 11, 1945 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00028087 |
| Booking number: | 2006004306 |
| Booking date: | May 28, 2006 |
| Release date: | May 29, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.011 - ASSAULT/DOMV |
| Offense date: | May 28, 2006 |