| Date of birth: | Nov 21, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Spn: | 170982 |
| Booking location: | Leon County, FL |
| Release date: | Nov 9, 2004 |
| Offense date: | Nov 5, 2004 |
| Clerk case: | 2004HH2308A1 |
| Charge literal: | HOLD FOR PINELLAS CO. |
| Booking date: | Nov 5, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 04-231268 |