| Date of birth: | Apr 16, 1945 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 10007939 |
| Booking number: | B10012162 |
| Booking date: | Nov 16, 2010 |
| Booking age: | 1965 |
| Release date: | Nov 16, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | OBSTRUCT WO VIOLENCE |
| Violation code: | 843.02 |
| Obts: | 6601036351 |
| Charge number: | 1 |
| Arrest location: | WALTON MAGNOLIA PANAMA BCH, FL |
| Arrest date: | Nov 16, 2010 |
| Agency case: | 10004244 |