| Date of birth: | Aug 1, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00040709 |
| Booking number: | 2009006783 |
| Booking date: | Nov 2, 2009 |
| Release date: | Nov 3, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - POCS W/O PRESCRIPTION |
| Offense date: | Nov 2, 2009 |
| Bond amount: | $2,500 |
| Arrest date: | Nov 2, 2009 |
| Statute: | 893.147-1 - POP |
| Offense date: | Nov 2, 2009 |
| Bond amount: | $500 |
| Arrest date: | Nov 2, 2009 |
| Statute: | 918.13 - TAMPER WITH OR FABRICATE PHYSICAL |
| Offense date: | Nov 2, 2009 |
| Bond amount: | $2,000 |
| Arrest date: | Nov 2, 2009 |
