| Date of birth: | Oct 22, 1941 |
| Hair: | Bld |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 11008564 |
| Booking number: | B11014012 |
| Booking date: | May 12, 2011 |
| Booking age: | 1969 |
| Release date: | May 12, 2011 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | ALTERED INSTRUMENT |
| Violation code: | 831.02 |
| Obts: | 660103769 |
| Charge number: | 1 |
| Arrest location: | WALTON COUNTY |
| Arrest date: | May 12, 2011 |
| Agency case: | 11000602 |