| Date of birth: | 1956 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00049822 |
| Booking number: | 2013002199 |
| Booking date: | Apr 19, 2013 |
| Release date: | Apr 20, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147-1 - POP |
| Offense date: | Apr 18, 2013 |
| Arrest date: | Apr 18, 2013 |
| Statute: | 893.13-6a - CNTRL SUB WO PRESCRIPTION |
| Offense date: | Apr 18, 2013 |
| Arrest date: | Apr 18, 2013 |