| Date of birth: | Aug 21, 1960 |
| Hair: | Bald |
| Eyes: | Green |
| Inmate number: | 00017378 |
| Booking number: | 2003006879 |
| Booking date: | Oct 31, 2003 |
| Release date: | Nov 1, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - RETAIL THEFT |
| Offense date: | Oct 31, 2003 |
| Bond amount: | $250 |