| Date of birth: | Jun 2, 1957 |
| Hair: | Bald |
| Eyes: | Brown |
| Inmate number: | 00045730 |
| Booking number: | 2011005511 |
| Booking date: | Sep 28, 2011 |
| Release date: | Oct 4, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT-OF-COUNTY WARRANT/ SANTA ROSA FALSELY PERSONATING OFFICER |
| Offense date: | Sep 28, 2011 |