| Date of birth: | Mar 24, 1936 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00005249 |
| Booking number: | 2000007010 |
| Booking date: | Sep 5, 2000 |
| Release date: | Sep 11, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.29 - VIOLATION OF PRETRIAL |
| Offense date: | Sep 5, 2000 |