| Date of birth: | Jan 9, 1959 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00001905 |
| Booking number: | 2003006196 |
| Booking date: | Oct 4, 2003 |
| Release date: | Oct 5, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - DETOX ONLY |
| Offense date: | Oct 4, 2003 |