| Date of birth: | Apr 21, 1959 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00045833 |
| Housing location: | MEDICAL |
| Booking number: | 2012000031 |
| Booking date: | Jan 2, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31-4a - VIOL INJUNCTION TELEPHON CONTACT |
| Offense date: | Jan 2, 2012 |
| Case number: | 11DR005541 |
| Bond amount: | $2,000 |
| Arrest date: | Jan 2, 2012 |
