| Date of birth: | Jan 1, 1948 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 11008851 |
| Booking number: | B11014764 |
| Booking date: | Jul 27, 2011 |
| Booking age: | 1963 |
| Release date: | Jul 27, 2011 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | REFUSE TO SUBMIT DUI TEST AFTER LIC SUSP |
| Violation code: | 316.1939(1E) |
| Required cash amount: | $0 |
| Obts: | 6601038089 |
| Clear type: | SURETY/CASH |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | AS1K-195656 |
| Bond amount: | $500 |
| Arrest location: | 25 SOUTH 25TH STREET |
| Arrest date: | Jul 27, 2011 |
| Agency case: | 1912-XFA |
