| Date of birth: | Aug 4, 1955 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00039329 |
| Booking date: | Jun 1, 2009 |
| Release date: | Jun 10, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - PROB VIOLATION (VIOLATION OF DOMESTIC INJ) |
| Offense date: | Jun 1, 2009 |
| Case number: | 09MM195S |