| Date of birth: | Dec 1, 1960 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00016805 |
| Booking number: | 2003005546 |
| Booking date: | Sep 5, 2003 |
| Release date: | Sep 8, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ WALTON CO. |
| Offense date: | Sep 5, 2003 |
| Bond amount: | $541 |