| Date of birth: | Oct 23, 1935 |
| Hair: | White |
| Eyes: | Brown |
| Inmate number: | 00015549 |
| Booking number: | 2003006168 |
| Booking date: | Oct 3, 2003 |
| Release date: | Oct 3, 2003 |
| Booking location: | Okaloosa County, FL |
| Booking number: | 2003002750 |
| Booking date: | May 10, 2003 |
| Release date: | May 10, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC |
| Offense date: | Oct 3, 2003 |
| Case number: | 03-MM-8002 |
| Statute: | 832.05 - INSUFF FUNDS |
| Offense date: | May 10, 2003 |
| Case number: | 2003CF000582C |
| Bond amount: | $1,000 |