| Date of birth: | May 29, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00049214 |
| Housing location: | ACR5-H |
| Booking number: | 2013000499 |
| Booking date: | Jan 25, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1a - FTA-FELONY-POCS W/O PRESCRIP, POM, POP |
| Offense date: | Jan 25, 2013 |
| Case number: | 2012CF001453F |
| Arrest date: | Jan 25, 2013 |