| Date of birth: | Oct 28, 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00039754 |
| Booking number: | 2009004270 |
| Booking date: | Jul 14, 2009 |
| Release date: | Jul 15, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1a - AGGRAVATED ASSAULT |
| Offense date: | Jul 14, 2009 |
| Statute: | 806.13-1b2 - CRIMINAL MISCHIEF |
| Offense date: | Jul 14, 2009 |