| Date of birth: | Dec 18, 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 02010240 |
| Booking number: | B11015342 |
| Booking date: | Oct 5, 2011 |
| Booking age: | 1963 |
| Release date: | Oct 5, 2011 |
| Booking location: | Walton County, FL |
| Booking number: | WCSO03JBN000869 |
| Booking date: | Mar 20, 2003 |
| Booking age: | 1955 |
| Release date: | Mar 21, 2003 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | CONCEAL INFO TO OBTAIN PRESCRIPTION |
| Violation code: | 893.13(7A8) |
| Required cash amount: | $0 |
| Obts: | 6601038556 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond amount: | $5,000 |
| Arrest location: | 2759 HWY 90 E |
| Arrest date: | Oct 5, 2011 |
| Agency case: | 11-000679 |
