| Date of birth: | Dec 16, 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00039792 |
| Booking number: | 2010004509 |
| Booking date: | Aug 3, 2010 |
| Release date: | Aug 12, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/FALSE INFO TO LEO; PT(2CTS); ATT LIC NOT ASSIGNED |
| Offense date: | Aug 3, 2010 |
| Case number: | 09MM2849S |
| Arrest date: | Aug 3, 2010 |