| Date of birth: | May 18, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00023060 |
| Booking number: | 2005002659 |
| Booking date: | Mar 31, 2005 |
| Release date: | Apr 5, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - FORGERY OF PRESCRIPTION(3 COUNTS) |
| Offense date: | Mar 31, 2005 |
| Bond amount: | $5,000 |
| Statute: | 831.02 - UTTER FORGED INSTRUMENT(3 COUNTS) |
| Offense date: | Mar 31, 2005 |
| Bond amount: | $5,000 |
