| Date of birth: | Dec 18, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00017116 |
| Booking number: | 2003006308 |
| Booking date: | Oct 8, 2003 |
| Release date: | Oct 8, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY |
| Offense date: | Oct 8, 2003 |
| Bond amount: | $500 |