| Date of birth: | Sep 22, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00033670 |
| Booking date: | Sep 23, 2007 |
| Release date: | Oct 10, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.015 - RETAIL THEFT/RESIST LOSS PREV OFC |
| Offense date: | Sep 23, 2007 |
| Case number: | 07MM3178S |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - HOLD FOR ICE |
| Offense date: | Sep 23, 2007 |