| Date of birth: | Feb 6, 1938 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00025319 |
| Booking number: | 2005007980 |
| Booking date: | Sep 25, 2005 |
| Release date: | Sep 25, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Offense date: | Sep 25, 2005 |
| Bond amount: | $206 |