| Date of birth: | Mar 5, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00018932 |
| Booking number: | 2004002541 |
| Booking date: | Apr 11, 2004 |
| Release date: | Apr 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 900.04 - CIVIL COMMIT(JACKSONVILLE S/O) |
| Offense date: | Apr 11, 2004 |
| Statute: | DEL.9999.999 - HOLD (JACKSONVILLE S/O) |
| Offense date: | Apr 11, 2004 |
