| Date of birth: | Jan 4, 1947 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 40220 |
| Booking location: | Leon County, FL |
| Statute: | 784.021 1A |
| Release date: | Jun 19, 2004 |
| Offense date: | Jun 19, 2004 |
| Clerk case: | 2004CF2203A1 |
| Charge literal: | AGGRAVATED BATTERY W/A DEADLY WEAPON |
| Booking date: | Jun 19, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Bond amount: | $2,500 |
| Agency report: | TL0419858 |