| Date of birth: | Feb 14, 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00020219 |
| Booking number: | 2004005481 |
| Booking date: | Aug 5, 2004 |
| Release date: | Aug 6, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - WASHINGTON CO FTA/WC 4CTS |
| Offense date: | Aug 5, 2004 |