| Date of birth: | Oct 13, 1964 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00019972 |
| Booking number: | 2004004983 |
| Booking date: | Jul 15, 2004 |
| Release date: | Jul 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - HOLD FOR PRISON TRANSPORT |
| Offense date: | Jul 15, 2004 |