| Date of birth: | Oct 26, 1961 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00044398 |
| Booking number: | 2011001856 |
| Booking date: | Apr 3, 2011 |
| Release date: | Apr 3, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - PASCO CO/VOP(GT) |
| Offense date: | Apr 3, 2011 |
| Case number: | 0100933FAWS |
| Bond amount: | $10,000 |
| Arrest date: | Apr 3, 2011 |