| Date of birth: | Jun 23, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00023745 |
| Booking number: | 2011002949 |
| Booking date: | May 23, 2011 |
| Release date: | May 23, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP, CM |
| Offense date: | May 23, 2011 |
| Case number: | 11MM498 |
| Bond amount: | $145 |
| Arrest date: | May 23, 2011 |