| Date of birth: | Dec 15, 1945 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 11010446 |
| Active: | N |
| Booking number: | B12018519 |
| Booking date: | Nov 8, 2012 |
| Release date: | Nov 8, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | CRIMES AGAINST PERSON ABUSE ELDERLY OR DISABLED ADULT WO GREAT HARM |
| Violation code: | 825.102(1) |
| Required cash amount: | $0 |
| Obts number: | 6601041395 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | E058881 |
| Bond amount: | $5,000 |
| Arrest location: | 541 MOUNTAIN VALLEY RD |
| Arrest date: | Nov 8, 2012 |
| Agency case number: | MFC-12-00710 |