| Date of birth: | Jan 4, 1944 |
| Hair: | Salt/pepper |
| Eyes: | Brown |
| Inmate number: | 00016682 |
| Booking number: | 2003005276 |
| Booking date: | Aug 24, 2003 |
| Release date: | Aug 25, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Aug 24, 2003 |