| Date of birth: | Nov 15, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00005403 |
| Booking date: | Nov 29, 2010 |
| Release date: | Jan 5, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08-2b - ON PERSON 65 YEARS OF AGE OR OLDER |
| Offense date: | Nov 28, 2010 |
| Case number: | 10CF2266C |
| Arrest date: | Nov 28, 2010 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Nov 28, 2010 |
| Case number: | 10MM3934C /10CF2266C |
| Arrest date: | Nov 28, 2010 |