| Date of birth: | Dec 28, 1944 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| Facility: | LAKE C. I. |
| DC number: | V09264 |
| Custody: | MEDIUM |
| Release date: | Aug 7, 2000 |
| Booking location: | St. Johns County, FL |
| Sentence length: | 1Y 3M 0D |
| Discharge date: | Oct 6, 1999 |
| Offense date: | Jul 16, 1999 |
| Offense: | AGG ASSLT-W/WPN NO INTENT TO K |
| County: | ST. JOHNS |
| Case number: | 9901687 |
