| Date of birth: | Mar 22, 1955 |
| Hair: | Black |
| Eyes: | Hazel |
| Number: | 00011030 |
| Booking date: | Apr 13, 2002 |
| Release date: | Apr 13, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - RETAIL THEFT |
| Offense date: | Apr 13, 2002 |
| Bond amount: | $5,000 |
| Statute: | 784.03 - BATTERY (SIMPLE) |
| Offense date: | Apr 13, 2002 |
| Bond amount: | $5,000 |