| Date of birth: | Oct 16, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00039169 |
| Booking number: | 2009002962 |
| Booking date: | May 16, 2009 |
| Release date: | May 21, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - BREVARD CO/FTA(TRESPASS) |
| Offense date: | May 17, 2009 |
| Statute: | 806.13-1b1 - CRIMINAL MISCHIEF |
| Offense date: | May 15, 2009 |
| Arrest date: | May 15, 2009 |