| Date of birth: | Aug 21, 1947 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 11010540 |
| Active: | N |
| Booking number: | B12018719 |
| Booking date: | Dec 10, 2012 |
| Release date: | Dec 10, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | LARC PETIT THEFT 1ST DEGRE 100 LESS 300 DOLS; SHOPLIFTING |
| Violation code: | 812.014(2E) |
| Required cash amount: | $0 |
| Obts number: | 6601041568 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond number: | CASH |
| Bond amount: | $0 |
| Arrest location: | 45 CENTRAL SQ |
| Arrest date: | Dec 10, 2012 |
| Agency case number: | 12006636 |