| Date of birth: | May 21, 1958 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00017618 |
| Booking date: | Nov 29, 2003 |
| Release date: | Dec 24, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Nov 29, 2003 |
| Bond amount: | $1,000 |
| Statute: | 948.06 - VOP - ESCAMBIA/DWLSR |
| Offense date: | Nov 29, 2003 |
| Case number: | 91MT0642A |
| Statute: | DEL.9999.999 - HOLD(MARTIN CO)BOND REV. NO BOND |
| Offense date: | Nov 29, 2003 |
