| Date of birth: | Dec 3, 1945 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00048657 |
| Booking number: | 2012006583 |
| Booking date: | Nov 4, 2012 |
| Release date: | Nov 4, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-3c1 - DUI AND DAMAGE PROPERTY/PERSONAL INJURY |
| Offense date: | Nov 4, 2012 |
| Bond amount: | $750 |