| Date of birth: | Mar 31, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021310 |
| Booking number: | 2004008016 |
| Booking date: | Nov 8, 2004 |
| Release date: | Nov 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CONTEMPT OF COURT/FAIL TO PAY MEDICAL EXP |
| Offense date: | Nov 8, 2004 |
| Case number: | 92DR2026 |