| Date of birth: | Jun 23, 1947 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 04008733 |
| Number: | 00043021 |
| Booking date: | Sep 5, 2010 |
| Release date: | Sep 5, 2010 |
| Booking location: | Okaloosa County, FL |
| Booking number: | WCSO04JBN004185 |
| Booking date: | Dec 12, 2004 |
| Booking age: | 1957 |
| Release date: | Jan 1, 1970 |
| Booking location: | Walton County, FL |
| Statute: | 327.35 - BUI |
| Offense date: | Sep 4, 2010 |
| Bond amount: | $500 |
| Arrest date: | Sep 4, 2010 |