| Date of birth: | Feb 12, 1941 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 10007992 |
| Booking number: | B10012327 |
| Booking date: | Dec 1, 2010 |
| Booking age: | 1969 |
| Release date: | Dec 2, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FAIL TO REGISTER AS REQUIRED |
| Violation code: | 943.0435(14c4) |
| Obts: | 6601036447 |
| Charge number: | 1 |
| Arrest location: | DEFUNIAK SPGS |
| Arrest date: | Dec 1, 2010 |