| Date of birth: | Mar 16, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021865 |
| Booking number: | 2005004835 |
| Booking date: | Jun 9, 2005 |
| Release date: | Jun 10, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR(SANTA ROSA CO) |
| Offense date: | Jun 9, 2005 |
| Case number: | 04-042085CTTA |
| Bond amount: | $152 |
| Statute: | DEL.9999.999 - HOLD FOR SANTA ROSA CO |
| Offense date: | Jun 9, 2005 |