| Date of birth: | Mar 28, 1934 |
| Hair: | White |
| Eyes: | Brown |
| Supervision type: | PROBATION MISDEMEANOR |
| Supervision begin date: | Aug 31, 2011 |
| Scheduled termination date: | Aug 30, 2012 |
| Inmate status: | ACTIVE |
| DC number: | K82525 |
| Booking location: | Indian River County, FL |