| Date of birth: | Jan 11, 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00017240 |
| Booking date: | Oct 20, 2003 |
| Release date: | Oct 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - WAIVER SIGNED FFJ(POPE CO, AR) |
| Offense date: | Oct 20, 2003 |
| Statute: | DEL.9999.999 - HOLD FOR ARKANSAS |
| Offense date: | Oct 20, 2003 |