| Date of birth: | Oct 19, 1956 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 46772 |
| Booking number: | 2012002198 |
| Booking date: | Apr 22, 2012 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-12 - RBB/RAWOV,POP,POC |
| Offense date: | Apr 23, 2012 |
| Case number: | 12-CF-459-C |
| Arrest date: | Apr 23, 2012 |
| Statute: | 893.147-1 - POP |
| Offense date: | Apr 22, 2012 |