| Date of birth: | Jul 26, 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00021098 |
| Booking date: | Oct 20, 2004 |
| Release date: | Oct 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Aug 16, 2001 |
| Release date: | Oct 18, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/AGG ASSAULT |
| Offense date: | Oct 20, 2004 |
| Case number: | 01CF1455 |
| Bond amount: | $2,500 |
| Statute: | 784.021 - AGGRAVATED ASSAULT/ DOMV |
| Offense date: | Aug 16, 2001 |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Aug 16, 2001 |
