| Date of birth: | Sep 27, 1944 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00042288 |
| Booking date: | May 26, 2010 |
| Release date: | May 27, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - W/C 2 cts |
| Offense date: | May 26, 2010 |
| Case number: | 09-1944/10-10803 |
| Bond amount: | $355 |