| Date of birth: | Dec 16, 1953 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00000408 |
| Booking number: | 2004005959 |
| Booking date: | Aug 24, 2004 |
| Release date: | Feb 27, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/ POCS 2CTS |
| Offense date: | Aug 24, 2004 |
| Case number: | 99CF1475 |