| Date of birth: | Sep 18, 1942 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00002987 |
| Booking number: | 2000003410 |
| Booking date: | Apr 7, 2000 |
| Release date: | Apr 8, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Apr 7, 2000 |