| Date of birth: | Mar 5, 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00042639 |
| Booking date: | Jul 13, 2010 |
| Release date: | Jul 14, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-2c3 - LARCENY 10000 |
| Offense date: | Jul 13, 2010 |
| Bond amount: | $2,500 |
| Arrest date: | Jul 13, 2010 |