| Date of birth: | May 31, 1955 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00045066 |
| Booking number: | 2011003756 |
| Booking date: | Jul 1, 2011 |
| Release date: | Jul 2, 2011 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FAILURE TO APPEAR-TRESPASSING |
| Offense date: | Jul 1, 2011 |
| Case number: | 11MM2011 |