| Date of birth: | May 27, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019610 |
| Booking number: | 2004004208 |
| Booking date: | Jun 13, 2004 |
| Release date: | Jun 14, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Jun 13, 2004 |