| Date of birth: | Apr 18, 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00016105 |
| Inmate number: | 00016105 |
| Booking date: | Feb 14, 2004 |
| Release date: | Apr 2, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking number: | 2003003981 |
| Booking date: | Jul 4, 2003 |
| Release date: | Dec 30, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - PROVIDE FALSE NAME WHILE DETAINED |
| Offense date: | Feb 14, 2004 |
| Case number: | 04MM702 |
| Statute: | DEL.9999.999 - HOLD FOR GEORGIA |
| Offense date: | Feb 14, 2004 |
| Statute: | 810.08 - TRESPASS/BREACH PEACE-DC/FALSE ID/RAWOV |
| Offense date: | Feb 14, 2004 |
| Case number: | 04MM488 |
| Statute: | 941.02 - FFJ (GEORGIA) |
| Offense date: | Feb 14, 2004 |
| Case number: | 03M5267 |
| Statute: | DEL.9999.999 - BURGLARY/ FALSE ID |
| Offense date: | Jul 4, 2003 |
| Case number: | 03CF1307 |
