| Date of birth: | Dec 30, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00039672 |
| Booking number: | 2009004080 |
| Booking date: | Jul 6, 2009 |
| Release date: | Jul 6, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147-1 - POP |
| Offense date: | Jul 6, 2009 |
| Bond amount: | $500 |
| Arrest date: | Jul 6, 2009 |