| Date of birth: | Nov 19, 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 11010078 |
| Booking number: | B12017527 |
| Booking date: | Jul 8, 2012 |
| Booking age: | 1960 |
| Release date: | Jul 8, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | RESIST OFFICER OBSTRUCT BY DISGUISED PERSON |
| Violation code: | 843.03 |
| Required cash amount: | $1,000 |
| Obts: | 6601040491 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond amount: | $1,000 |
| Arrest location: | 393 CYPRESS BREEZE BLVD |
| Arrest date: | Jul 8, 2012 |
| Agency case: | 12OFF003949 |