| Date of birth: | Sep 3, 1927 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00049026 |
| Release date: | Dec 28, 2012 |
| Booking number: | B12018846 |
| Booking date: | Dec 28, 2012 |
| Active: | N |
| Booking location: | Walton County, FL |
| Booking number: | 2012007638 |
| Booking date: | Dec 28, 2012 |
| Release date: | Dec 28, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 810.02-2b - DWELLING STRUCTURE OR CONVEYANCE ARMED |
| Offense date: | Dec 28, 2012 |
| Bond amount: | $5,000 |
| Statute: | 812.014-3a - PETIT 1ST OFF |
| Offense date: | Dec 28, 2012 |
| Violation level: | N |
| Violation description: | OUT-OF-COUNTY WARRANT |
| Violation code: | 901.04 |
| Required cash amount: | $0 |
| Obts number: | 6601041680 |
| Clear type: | OTHER |
| Charge number: | 1 |
| Bond amount: | $0 |
| Arrest date: | Dec 28, 2012 |
| Agency case number: | 11009098 |