| Date of birth: | Sep 19, 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00048930 |
| Booking number: | 2012007378 |
| Booking date: | Dec 14, 2012 |
| Release date: | Dec 14, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-1 - DUI ALCOHOL OR DRUGS 1ST OFF |
| Offense date: | Dec 14, 2012 |
| Bond amount: | $500 |
| Arrest date: | Dec 14, 2012 |