| Date of birth: | Dec 17, 1962 |
| Hair: | Bald |
| Eyes: | Brown |
| Number: | 00043559 |
| Booking date: | Dec 7, 2010 |
| Release date: | Dec 14, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - WASHINGTON CO/VOP(POCS, POP) |
| Offense date: | Dec 7, 2010 |
| Case number: | 94156CFA |
| Arrest date: | Dec 7, 2010 |
| Statute: | 901.04 - JACKSON CO/VOP(RAWV, POP) |
| Offense date: | Dec 7, 2010 |
| Case number: | 97-743CF |
| Arrest date: | Dec 7, 2010 |