| Date of birth: | 1952 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00046189 |
| Booking number: | 2013000797 |
| Booking date: | Feb 8, 2013 |
| Release date: | Mar 11, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1a - FTA, NEGLECT CHILD WO GREAT HARM |
| Offense date: | Feb 8, 2013 |
| Case number: | 11-CF-2437-F |
| Bond amount: | $5,000 |