| Date of birth: | May 13, 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00039125 |
| Booking date: | May 11, 2009 |
| Release date: | May 11, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR |
| Offense date: | May 11, 2009 |
| Case number: | 08-CT-908-C |
| Arrest date: | May 11, 2009 |