| Date of birth: | Aug 8, 1941 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00048968 |
| Booking number: | 2012007468 |
| Booking date: | Dec 19, 2012 |
| Release date: | Dec 19, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1a - AGGRAV ASSLT W DEADLY WEAPON WITHOUT INTENT TO KILL |
| Offense date: | Dec 18, 2012 |
| Bond amount: | $2,500 |
| Arrest date: | Dec 18, 2012 |
