| Date of birth: | Nov 24, 1942 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 09005775 |
| Booking number: | B09006188 |
| Booking date: | Jul 14, 2009 |
| Booking age: | 1966 |
| Release date: | Jul 14, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | DISORDERLY CONDUCT |
| Violation code: | 877.03 |
| Obts: | 6601032545 |
| Charge number: | 1 |
| Arrest location: | 1 STOP AUTO SHOP 1771 US HWY 90 DFS, FL |
| Arrest date: | Jul 14, 2009 |
| Agency case: | 0907140064 |