| Date of birth: | Sep 3, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00004564 |
| Booking number: | 2000005678 |
| Booking date: | Jul 13, 2000 |
| Release date: | Jul 13, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR |
| Offense date: | Jul 13, 2000 |
| Case number: | 00-001435 |
| Bond amount: | $250 |