| Date of birth: | Apr 6, 1960 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00046881 |
| Booking number: | 2012001485 |
| Booking date: | Mar 19, 2012 |
| Release date: | Mar 20, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RESIST OBSTRUCT OFFICER WO VIOLENCE |
| Offense date: | Mar 19, 2012 |
| Bond amount: | $1,000 |