| Date of birth: | Jun 10, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00019869 |
| Booking number: | 2004004748 |
| Booking date: | Jul 5, 2004 |
| Release date: | Jul 6, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - NO DL OPERATION OF MOTORCYCLE |
| Offense date: | Jul 5, 2004 |