| Date of birth: | Jul 1, 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00038202 |
| Booking number: | 2009000216 |
| Booking date: | Jan 9, 2009 |
| Release date: | Jan 11, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jan 9, 2009 |