| Date of birth: | Dec 29, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00017414 |
| Booking number: | 2003006966 |
| Booking date: | Nov 4, 2003 |
| Release date: | Nov 5, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS/ COCAINE 2 CTS |
| Offense date: | Nov 4, 2003 |
| Bond amount: | $5,000 |
| Statute: | DEL.9999.999 - DEFRAUD INNKEEPER |
| Offense date: | Nov 4, 2003 |