| Date of birth: | Dec 10, 1937 |
| Hair: | Brown |
| Eyes: | Gray |
| Inmate number: | 00047694 |
| Booking number: | 2012003748 |
| Booking date: | Jul 3, 2012 |
| Release date: | Jul 3, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 828.12-1 - ANIMAL CRUELTY |
| Offense date: | Jul 3, 2012 |
| Bond amount: | $500 |
| Arrest date: | Jul 3, 2012 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Jul 3, 2012 |
| Bond amount: | $500 |
| Arrest date: | Jul 3, 2012 |