| Date of birth: | Dec 14, 1942 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| Initial receipt date: | Mar 21, 2011 |
| Facility: | NWFRC MAIN UNIT. |
| DC number: | 133765 |
| Current custody: | MINIMUM |
| Release date: | Sep 30, 2013 |
| Booking location: | Clay County, FL |
| Sentence length: | 3Y 0M 0D |
| Discharge date: | Mar 10, 2011 |
| Offense date: | Oct 2, 2010 |
| Offense: | AGG ASSLT-W/WPN NO INTENT TO K |
| County: | CLAY |
| Case number: | 1002046 |