| Date of birth: | Aug 12, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00042970 |
| Booking number: | 2010004977 |
| Booking date: | Aug 29, 2010 |
| Release date: | Aug 29, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Aug 29, 2010 |
| Case number: | 4607MM012874A |