| Date of birth: | Jan 10, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 04008867 |
| Booking number: | B10012593 |
| Booking date: | Dec 29, 2010 |
| Booking age: | 1954 |
| Release date: | Dec 29, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | CNTRL SUB WO PRESCRIPTION |
| Violation code: | 893.13(6a) |
| Obts: | 6601036613 |
| Charge number: | 1 |
| Arrest location: | PLEASANT RIDGE ROAD |
| Arrest date: | Dec 28, 2010 |
| Agency case: | 10006595 |
| Violation level: | F |
| Violation description: | DISTRIBUTE LISTED CHEMICAL FOR MANUFACTURE |
| Violation code: | 893.149(1b) |
| Obts: | 6601036613 |
| Charge number: | 2 |
| Arrest location: | PLEASANT RIDGE ROAD |
| Arrest date: | Dec 28, 2010 |
| Agency case: | 10006595 |
