| Date of birth: | Sep 10, 1954 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00026104 |
| Booking date: | Dec 4, 2005 |
| Release date: | Dec 4, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Dec 4, 2005 |
| Statute: | 893.147 - POP |
| Offense date: | Dec 4, 2005 |