| Date of birth: | Mar 14, 1963 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00037049 |
| Booking number: | 2011000819 |
| Booking date: | Feb 12, 2011 |
| Release date: | Feb 13, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-5a - MOTOR VEH DRIVE OFF WO PAY FOR GAS |
| Offense date: | Feb 12, 2011 |
| Arrest date: | Feb 12, 2011 |