| Date of birth: | Sep 19, 1950 |
| Residency: | 940 ASHLEY LN, FORT WALTON BEACH, FL 32548 |
| Related offense: | OCSO16OFF000392 |
| Arrest number: | OCSO16ARR000279 |
| Booking location: | Okaloosa County, FL |
| Description: | 893.13.6a (Third Degree Felony) DRUGS - POSSESS CNTRL SUB WO PRESCRIPTION |