| Date of birth: | Nov 10, 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00034376 |
| Booking date: | Nov 3, 2009 |
| Release date: | Nov 22, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - SENTENCED / WC/ VOP X 9 |
| Offense date: | Nov 3, 2009 |
| Case number: | 09MM12541/07MM14883 |
| Arrest date: | Nov 3, 2009 |