| Date of birth: | Mar 18, 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00013193 |
| Booking number: | 2002005220 |
| Booking date: | Aug 27, 2002 |
| Release date: | Aug 28, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Aug 27, 2002 |