| Date of birth: | Mar 23, 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00012104 |
| Booking number: | 2002002962 |
| Booking date: | May 17, 2002 |
| Release date: | May 17, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.03 - MAKE FALSE STATEMENT TO OBTAIN CREDIT |
| Offense date: | May 17, 2002 |
| Bond amount: | $3,500 |
| Statute: | DEL.9999.999 - PROHIBITED ACTS AND PRACTICES |
| Offense date: | May 17, 2002 |
