| Date of birth: | Dec 21, 1946 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00023552 |
| Booking date: | Aug 2, 2010 |
| Release date: | Aug 25, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/PASS FORGED INS, GRAND THEFT (2CTS) |
| Offense date: | Aug 2, 2010 |
| Case number: | 05CF1383 |
| Arrest date: | Aug 2, 2010 |