| Date of birth: | Aug 18, 1939 |
| Hair: | Gray |
| Eyes: | Brn |
| Inmate status: | N |
| Inmate number: | 10006640 |
| Booking number: | B10008195 |
| Booking date: | Jan 4, 2010 |
| Booking age: | 1970 |
| Release date: | Jan 5, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | TOUCH OR STRIKE/DOM V |
| Violation code: | 784.03(1a1) |
| Obts: | 6601033974 |
| Charge number: | 1 |
| Arrest location: | W COUNTY HWY 30A |
| Arrest date: | Jan 4, 2010 |
| Agency case: | 10000061 |