| Date of birth: | Jul 13, 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00012241 |
| Booking number: | 2002003249 |
| Booking date: | May 31, 2002 |
| Release date: | Jun 1, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | May 31, 2002 |