| Date of birth: | Dec 2, 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00043148 |
| Booking number: | 2011002431 |
| Booking date: | Apr 28, 2011 |
| Release date: | Apr 29, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Apr 28, 2011 |
| Case number: | 11MM1357 |
| Arrest date: | Apr 28, 2011 |