| Date of birth: | Nov 13, 1952 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00020279 |
| Booking number: | 2004005616 |
| Booking date: | Aug 11, 2004 |
| Release date: | Aug 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR 2 CTS/ ST. LUCIE CO. |
| Offense date: | Aug 11, 2004 |
| Case number: | 02-2368 |
| Bond amount: | $2,505 |