| Date of birth: | Dec 22, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 10006770 |
| Booking number: | B10008505 |
| Booking date: | Jan 29, 2010 |
| Booking age: | 1947 |
| Release date: | Feb 23, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | DISORDER INTOX PUBLIC PLACE CAUSE DISTURBANCE |
| Violation code: | 856.011 |
| Obts: | 6601034173 |
| Charge number: | 1 |
| Arrest location: | WAFFLE HOUSE 586 HUGH ADAMS RD. DFS, FL |
| Arrest date: | Jan 30, 2010 |
| Agency case: | 10-000465 |
| Violation level: | M |
| Violation description: | FALSE NAME - FALSELY IDENTIFY HIMSELF TO LEO |
| Violation code: | 901.36-1 |
| Obts: | 6601034173 |
| Charge number: | 2 |
| Arrest location: | WAFFLE HOUSE 586 HUGH ADAMS RD. DFS, FL |
| Arrest date: | Jan 30, 2010 |
| Agency case: | 10-000465 |