| Date of birth: | 1958 |
| Hair: | Bald |
| Eyes: | Brown |
| Inmate number: | 00049821 |
| Booking number: | 2013002198 |
| Booking date: | Apr 19, 2013 |
| Release date: | Apr 25, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP-MISD-PT |
| Offense date: | Apr 18, 2013 |
| Case number: | 11MM4602 |
| Arrest date: | Apr 18, 2013 |