| Date of birth: | Sep 15, 1943 |
| Hair: | Blond |
| Eyes: | Blue |
| Hold: | no |
| Pod: | B |
| Booking number: | 1996-014432 |
| Booking date: | Aug 25, 1996 |
| Release date: | Aug 25, 1996 |
| Booking location: | Polk County, FL |
| Booking location: | Greene County, MO |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |
| Warrant no: | 1431CR04931-21 |
| Offense type: | F |
| Offense description: | FEL UNLAW USE WEA RSMO 571.030 |
| Bond amount: | $15,000 |
| Warrant no: | 1331CR00778-3 |
| Offense type: | F |
| Offense description: | TAMPERING WITH MOTOR VEHICLE 1ST DEGREE |
| Warrant no: | 1307987P/C |
| Offense type: | F |
| Offense description: | PROPERTY DAMAGE 1ST 569.100 |