| Date of birth: | Sep 19, 1949 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00040820 |
| Booking number: | 2009007095 |
| Booking date: | Nov 16, 2009 |
| Release date: | Nov 17, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC (3 COUNTS) |
| Offense date: | Nov 16, 2009 |
| Case number: | 4608MM010319A |
| Arrest date: | Nov 16, 2009 |