| Date of birth: | Mar 10, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00041841 |
| Booking date: | Mar 30, 2010 |
| Release date: | Mar 31, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6b - POM |
| Offense date: | Mar 30, 2010 |
| Arrest date: | Mar 30, 2010 |
| Statute: | 893.147-1 - POP |
| Offense date: | Mar 30, 2010 |
| Arrest date: | Mar 30, 2010 |