| Date of birth: | Mar 23, 1956 |
| Hair: | Salt/pepper |
| Eyes: | Brown |
| Inmate number: | 00021711 |
| Booking number: | 2004008980 |
| Booking date: | Dec 18, 2004 |
| Release date: | Aug 19, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGG ASSLT/PT/BLEO/RAWV |
| Offense date: | Dec 18, 2004 |
| Case number: | 04CF2867S |
| Statute: | DEL.9999.999 - NVDL |
| Offense date: | Dec 18, 2004 |
| Case number: | 04CT3739S |
