| Date of birth: | Mar 28, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00004012 |
| Booking number: | 2000004857 |
| Booking date: | Jun 9, 2000 |
| Release date: | Jun 10, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jun 9, 2000 |
| Bond amount: | $1,500 |