| Date of birth: | Oct 7, 1927 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00001560 |
| Booking number: | 2000001622 |
| Booking date: | Jan 15, 2000 |
| Release date: | Jan 15, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.015 - RETAIL THEFT |
| Offense date: | Jan 15, 2000 |
| Bond amount: | $750 |