| Date of birth: | Aug 23, 1959 |
| Hair: | Bald |
| Eyes: | Brown |
| Inmate number: | 00023891 |
| Booking number: | 2005004648 |
| Booking date: | Jun 3, 2005 |
| Release date: | Jun 4, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jun 3, 2005 |