| Date of birth: | Jun 24, 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 09005565 |
| Booking number: | B09005719 |
| Booking date: | Jun 8, 2009 |
| Booking age: | 1957 |
| Release date: | Jun 16, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | N |
| Violation description: | OUT-OF-STATE-FUG |
| Violation code: | 941.13 |
| Obts: | 6601032189 |
| Charge number: | 1 |
| Arrest location: | 96 W I 10 DFS, FL |
| Arrest date: | Jun 8, 2009 |
| Agency case: | 09005407 |