| Date of birth: | Dec 24, 1938 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00015346 |
| Booking number: | 2003002273 |
| Booking date: | Apr 17, 2003 |
| Release date: | Apr 18, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Apr 17, 2003 |