| Date of birth: | Feb 20, 1951 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00040346 |
| Booking number: | 2009005801 |
| Booking date: | Sep 17, 2009 |
| Release date: | Sep 18, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147-1 - POP |
| Offense date: | Sep 17, 2009 |
| Statute: | 893.13-6b - POM |
| Offense date: | Sep 17, 2009 |