| Date of birth: | May 6, 1932 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00039985 |
| Booking number: | 2009004894 |
| Booking date: | Aug 10, 2009 |
| Release date: | Aug 10, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA/2 COUNTS OF WC |
| Offense date: | Aug 10, 2009 |
| Case number: | 08MM013668 |
| Arrest date: | Aug 10, 2009 |
| Statute: | 832.05-2 - WC |
| Offense date: | Aug 10, 2009 |
| Case number: | 4609MM01659A |
| Arrest date: | Aug 10, 2009 |
