| Date of birth: | Jun 17, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00007098 |
| Booking number: | 2004006781 |
| Booking date: | Sep 24, 2004 |
| Release date: | Oct 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking number: | 2004003967 |
| Booking date: | Jun 4, 2004 |
| Release date: | Jun 5, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - OBTAIN CS/ FRAUD (KEETON) 10 CTS; OBTAIN DRUGS BY FRAUD |
| Offense date: | Sep 24, 2004 |
| Case number: | 04CF2154 |
| Bond amount: | $25,000 |
| Statute: | 893.13.1 - OBTAIN CONT SUB PRESCRIPTION/FRAUD |
| Offense date: | Jun 4, 2004 |
| Case number: | 04CF1237 |
| Bond amount: | $2,500 |
