| Date of birth: | Jun 3, 1941 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00042623 |
| Booking number: | 2010003996 |
| Booking date: | Jul 11, 2010 |
| Release date: | Jul 14, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT-OF-COUNTY WARRANT |
| Offense date: | Jul 11, 2010 |
| Bond amount: | $500 |
| Arrest date: | Jul 11, 2010 |