| Date of birth: | Jul 19, 1959 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00045657 |
| Booking number: | 2011005560 |
| Booking date: | Sep 30, 2011 |
| Release date: | Oct 9, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 810.09-2a - TRESPASSING |
| Offense date: | Sep 30, 2011 |
| Case number: | 2011 MM 003768 C |
| Arrest date: | Sep 30, 2011 |