| Date of birth: | Sep 10, 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00041759 |
| Booking number: | 2010001648 |
| Booking date: | Mar 21, 2010 |
| Release date: | Mar 21, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Mar 21, 2010 |
| Case number: | 4610MM010208A |
| Bond amount: | $407 |
| Arrest date: | Mar 21, 2010 |