| Date of birth: | Dec 11, 1924 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00013540 |
| Booking number: | 2002005950 |
| Booking date: | Sep 27, 2002 |
| Release date: | Sep 27, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.015 - RETAIL THEFT |
| Offense date: | Sep 27, 2002 |
| Bond amount: | $500 |