| Date of birth: | Oct 3, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00020765 |
| Booking number: | 2004006761 |
| Booking date: | Sep 23, 2004 |
| Release date: | Oct 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - PETIT THEFT |
| Offense date: | Sep 23, 2004 |
| Case number: | 04MM3305 |