| Date of birth: | Mar 28, 1953 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00043548 |
| Booking date: | Dec 4, 2010 |
| Release date: | Dec 5, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 856.011 - DISORDER INTOX PUBLIC PLACE CAUSE DISTURBANCE |
| Offense date: | Dec 4, 2010 |
| Statute: | 784.011 - ASSAULT |
| Offense date: | Dec 4, 2010 |