| Date of birth: | Dec 8, 1959 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00020667 |
| Booking number: | 2004006552 |
| Booking date: | Sep 14, 2004 |
| Release date: | Sep 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POSSESSION OF CONT SUB/ METHAMPHETAMINE |
| Offense date: | Sep 14, 2004 |
| Bond amount: | $2,500 |
| Statute: | 893.13 - POSSESSION OF PARAPHENALIA 2CTS |
| Offense date: | Sep 14, 2004 |
| Bond amount: | $2,500 |