| Date of birth: | Oct 11, 1941 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00033206 |
| Booking number: | 2010006019 |
| Booking date: | Oct 26, 2010 |
| Release date: | Oct 27, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.07-2a - ON OFFICER FIREFIGHTER EMT ETC |
| Offense date: | Oct 26, 2010 |
| Arrest date: | Oct 26, 2010 |