| Date of birth: | Feb 15, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00022017 |
| Booking number: | 2005000382 |
| Booking date: | Jan 12, 2005 |
| Release date: | Jan 13, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.1935 - FATE LEO |
| Offense date: | Jan 12, 2005 |
| Bond amount: | $750 |