| Date of birth: | May 4, 1950 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00021904 |
| Booking number: | 2005000131 |
| Booking date: | Jan 5, 2005 |
| Release date: | May 3, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - HOLD FOR SANTA ROSA COUNTY/EXPLOITION OF ELDERLY |
| Offense date: | Jan 5, 2005 |