| Date of birth: | Jul 1, 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00042676 |
| Booking number: | 2010004130 |
| Booking date: | Jul 17, 2010 |
| Release date: | Jul 17, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.041 - STOP PAY WIT DEFRAUD 150 DOLS OR MORE |
| Offense date: | Jul 17, 2010 |
| Bond amount: | $2,500 |