| Date of birth: | Jan 24, 1954 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00012494 |
| Booking date: | Jun 27, 2002 |
| Release date: | Aug 6, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.64 - FRAUD USE OF CC |
| Offense date: | Jun 27, 2002 |
| Case number: | 02-582CFSA |
| Statute: | 812.014 - GRAND THEFT |
| Offense date: | Jun 27, 2002 |