| Date of birth: | Oct 1, 1952 |
| Hair: | Brown |
| Eyes: | Black |
| Inmate number: | 00039195 |
| Booking number: | 2009003022 |
| Booking date: | May 19, 2009 |
| Release date: | May 20, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1a - AGG ASSAULT W DEADLY WEAPON WITHOUT INTENT TO KILL |
| Offense date: | May 19, 2009 |