| Date of birth: | Sep 5, 1945 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00018491 |
| Booking number: | 2004001415 |
| Booking date: | Feb 29, 2004 |
| Release date: | Mar 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ MICHIGAN |
| Offense date: | Feb 29, 2004 |
| Bond amount: | $109,381.21 |