| Date of birth: | Oct 29, 1948 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00031112 |
| Booking number: | 2007001294 |
| Booking date: | Feb 14, 2007 |
| Release date: | Feb 15, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/POM |
| Offense date: | Feb 14, 2007 |
| Case number: | 07MM125S |