| Date of birth: | Nov 21, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00047591 |
| Booking number: | 2012003457 |
| Booking date: | Jun 21, 2012 |
| Release date: | Jun 21, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Jun 20, 2012 |
| Bond amount: | $1,000 |