| Date of birth: | Apr 13, 1950 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00007848 |
| Booking date: | Apr 18, 2011 |
| Release date: | May 24, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA, PROB HEARING, DUI |
| Offense date: | Apr 17, 2011 |
| Case number: | 09CT1109 |
| Arrest date: | Apr 17, 2011 |