| Date of birth: | Nov 8, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00044651 |
| Booking date: | May 6, 2011 |
| Release date: | May 6, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - CNTRL SUB WO PRESCRIPTION |
| Offense date: | May 5, 2011 |
| Bond amount: | $2,500 |
| Arrest date: | May 5, 2011 |
| Statute: | 893.13-6b - POM |
| Offense date: | May 5, 2011 |
| Bond amount: | $500 |
| Arrest date: | May 5, 2011 |
| Statute: | 893.147-1 - POP |
| Offense date: | May 5, 2011 |
| Bond amount: | $500 |
| Arrest date: | May 5, 2011 |
| Statute: | 322.36 - PERMIT UNAUTHORIZED PERSON TO DRIVE |
| Offense date: | May 5, 2011 |
| Bond amount: | $500 |
| Arrest date: | May 5, 2011 |
