| Date of birth: | Dec 24, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00023221 |
| Booking number: | 2005003043 |
| Booking date: | Apr 13, 2005 |
| Release date: | May 3, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - SANTA ROSA VOP/MISD |
| Offense date: | Apr 13, 2005 |