| Date of birth: | Jul 22, 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00004470 |
| Booking date: | Jul 7, 2000 |
| Release date: | Jul 7, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - BATT ON LEO,ASSAULT(DOMV) |
| Offense date: | Jul 7, 2000 |
| Case number: | 00-858-CFSA |
| Bond amount: | $5,000 |