| Date of birth: | Apr 14, 1954 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00033662 |
| Booking number: | 2007007803 |
| Booking date: | Sep 22, 2007 |
| Release date: | Sep 23, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/PD(WC) |
| Offense date: | Sep 22, 2007 |
| Case number: | 2007MM010949S |