| Date of birth: | Jul 29, 1948 |
| Hair: | Brown |
| Eyes: | Gray |
| Inmate number: | 00048295 |
| Booking number: | 2012005529 |
| Booking date: | Sep 17, 2012 |
| Release date: | Sep 17, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 837.012 - PERJURY 4 CTS |
| Offense date: | Sep 17, 2012 |
| Bond amount: | $4,000 |
| Statute: | 838.022-1a - PUBLIC SERVANT FALSIFY OFFICIAL DOCUMENT 4 CTS |
| Offense date: | Sep 17, 2012 |
| Bond amount: | $20,000 |
