| Date of birth: | Apr 14, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00040035 |
| Booking number: | 2009005040 |
| Booking date: | Aug 15, 2009 |
| Release date: | Aug 16, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 14-09-22(1)(b,c,d) - CHILD NEGLECT |
| Offense date: | Aug 15, 2009 |
| Arrest date: | Aug 15, 2009 |