| Date of birth: | Oct 25, 1944 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00039161 |
| Booking number: | 2009002944 |
| Booking date: | May 15, 2009 |
| Release date: | May 16, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03-1 - NVDL |
| Offense date: | May 15, 2009 |
| Arrest date: | May 15, 2009 |