| Date of birth: | May 9, 1940 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00037731 |
| Booking date: | Jun 10, 2011 |
| Release date: | Jun 11, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WORTHLESS CHECK |
| Offense date: | Jun 10, 2011 |
| Arrest date: | Jun 10, 2011 |
| Statute: | 948.06 - VOP WORTHLESS CHECK |
| Offense date: | Jun 10, 2011 |
| Case number: | 2010-MM-011122-S |