| Date of birth: | Dec 20, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00022854 |
| Booking number: | 2005002265 |
| Booking date: | Mar 18, 2005 |
| Release date: | Mar 20, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC 2CTS |
| Offense date: | Mar 18, 2005 |
| Case number: | 4605-6750,6573 |
| Bond amount: | $500 |