| Date of birth: | Aug 16, 1935 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00015848 |
| Booking number: | 2003003424 |
| Booking date: | Jun 9, 2003 |
| Release date: | Jun 11, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WORTHLESS CHECK |
| Offense date: | Jun 9, 2003 |
| Case number: | 2002MM008076 |
| Bond amount: | $345 |