| Date of birth: | Oct 28, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00021606 |
| Booking number: | 2004008759 |
| Booking date: | Dec 9, 2004 |
| Release date: | Jan 4, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POP |
| Offense date: | Dec 9, 2004 |
| Case number: | 04MM4098 |
| Statute: | 320.261 - ATTACHING A TAG /DWLSR |
| Offense date: | Dec 9, 2004 |
| Case number: | 04CT3933S |
