| Date of birth: | Feb 22, 1942 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00037456 |
| Booking date: | Oct 1, 2008 |
| Release date: | Oct 2, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGGRAV ASSAULT W/DEADLY WEAPON DOMV |
| Offense date: | Sep 30, 2008 |
| Case number: | 08-030561 |