| Date of birth: | Nov 30, 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00016542 |
| Booking number: | 2003004971 |
| Booking date: | Aug 12, 2003 |
| Release date: | Aug 13, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/DOMV |
| Offense date: | Aug 12, 2003 |