| Date of birth: | Jan 19, 1930 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00036475 |
| Booking number: | 2008005040 |
| Booking date: | Jun 21, 2008 |
| Release date: | Jun 21, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Jun 21, 2008 |