| Date of birth: | Jan 1, 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00040929 |
| Booking date: | Dec 2, 2009 |
| Release date: | Dec 4, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 790.10 - IMPROPER EXHIBIT WPN |
| Offense date: | Dec 2, 2009 |
| Bond amount: | $2,500 |
| Arrest date: | Dec 2, 2009 |