Date of birth: | Nov 25, 1942 |
Hair: | Gray |
Eyes: | Hazel |
Inmate number: | 00019676 |
Booking number: | 2004004362 |
Booking date: | Jun 19, 2004 |
Release date: | Jun 21, 2004 |
Booking location: | Okaloosa County, FL |
Statute: | 893.13 - POP/POM/POC |
Offense date: | Jun 19, 2004 |
Case number: | 03-CF-1779 |