| Date of birth: | Jan 28, 1948 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00010305 |
| Booking date: | Jan 19, 2005 |
| Release date: | Jan 31, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ORDER TO TRANSPORT/ POCS/SOCS |
| Offense date: | Jan 19, 2005 |
| Case number: | 01CF2211 |