| Date of birth: | Mar 6, 1939 |
| Hair: | Gray |
| Eyes: | Blue |
| Spn: | 3267 |
| Booking location: | Leon County, FL |
| Statute: | 831.30 3 |
| Release date: | Jul 7, 2003 |
| Offense date: | Jul 7, 2003 |
| Clerk case: | 2003MM5505A1 |
| Charge literal: | PASS FORGED ALTERED PRESCRIPTION AS TRUE 1ST OFF |
| Booking date: | Jul 7, 2003 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | TL0323749 |
| Statute: | 831.30 3 |
| Release date: | Jul 7, 2003 |
| Offense date: | Jul 7, 2003 |
| Clerk case: | 2003MM5505A2 |
| Charge literal: | PASS FORGED ALTERED PRESCRIPTION AS TRUE 1ST OFF |
| Booking date: | Jul 7, 2003 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | TL0323749 |
