| Date of birth: | Sep 5, 1934 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00036770 |
| Booking number: | 2008005800 |
| Booking date: | Jul 17, 2008 |
| Release date: | Jul 18, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGG.ASSAULT(DOMV) |
| Offense date: | Jul 17, 2008 |