| Date of birth: | Sep 9, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00025794 |
| Booking date: | Nov 5, 2005 |
| Release date: | Nov 9, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - WALTON CO. FTA |
| Offense date: | Nov 5, 2005 |
| Statute: | 843.15 - HOLMES CO. FTA/WCS |
| Offense date: | Nov 5, 2005 |