| Date of birth: | Mar 20, 1964 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00022209 |
| Booking number: | 2005000798 |
| Booking date: | Jan 27, 2005 |
| Release date: | Feb 9, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - HOUSING FOR SANTA ROSA/VOP/ |
| Offense date: | Jan 27, 2005 |
| Case number: | 04-11228 |