| Date of birth: | 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00051063 |
| Housing location: | ECHO-SECC |
| Booking number: | 2013005843 |
| Booking date: | Oct 3, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1b - AGGRAV ASSAULT WITH INTENT TO COMMIT A FELONY |
| Offense date: | Oct 3, 2013 |
| Arrest date: | Oct 3, 2013 |