| Date of birth: | Aug 24, 1945 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00018198 |
| Booking number: | 2004000685 |
| Booking date: | Jan 30, 2004 |
| Release date: | Feb 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/GRAND THEFT/ BROWARD CO. |
| Offense date: | Jan 30, 2004 |
| Case number: | 00-16533 |