| Date of birth: | Oct 24, 1959 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00017454 |
| Booking number: | 2003007068 |
| Booking date: | Nov 8, 2003 |
| Release date: | Nov 18, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ (TEXAS) (WAIVER SIGNED) |
| Offense date: | Nov 8, 2003 |