| Date of birth: | Aug 10, 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00003496 |
| Booking number: | 2000004151 |
| Booking date: | May 10, 2000 |
| Release date: | May 11, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY-DOMV |
| Offense date: | May 10, 2000 |