| Date of birth: | Mar 29, 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00047937 |
| Housing location: | ECHO-SECC |
| Booking number: | 2012004420 |
| Booking date: | Jul 30, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1a - AGG ASSAULT W/DEADLY WPN W/O INTENT TO KILL (FIREARM) |
| Offense date: | Jul 30, 2012 |
| Arrest date: | Jul 30, 2012 |