| Date of birth: | Jun 14, 1964 |
| Hair: | Grey |
| Eyes: | Brown |
| Skin tone: | LIGHT |
| Nationality: | AMERICAN |
| Build: | SMALL |
| Hold: | no |
| Arresting agency: | WINTER HAVEN POLICE DEPT. |
| Booking number: | 2004-010724 |
| Booking date: | May 8, 2004 |
| Release date: | May 21, 2004 |
| Booking location: | Polk County, FL |
| Booking location: | Pottawatomie County, OK |
| Offense date: | Jan 1, 1900 |
| Description: | DRUG COURT SANCTION |
| Code: | DRUG COURT SANCTION |
| Case number: | DC-14-49 |
| Statute: | 812.014(3A) LARC-PETIT 1ST OFF |
| Charge on arrest docket: | RETAIL THEFT SHOPLIFTING |
| Charge number: | 1 |
