| Date of birth: | Dec 15, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00015834 |
| Booking date: | Jun 9, 2003 |
| Release date: | Jun 18, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.015 - RETAIL THEFT |
| Offense date: | Jun 9, 2003 |
| Statute: | DEL.9999.999 - HOLD INS |
| Offense date: | Jun 9, 2003 |