| Date of birth: | Jan 10, 1957 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00038549 |
| Booking date: | Mar 1, 2009 |
| Release date: | Mar 18, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 999999 - CIVIL COMMIT 30 DAYS |
| Offense date: | Mar 1, 2009 |
| Case number: | 05DR2407 |
| Bond amount: | $650 |