| Date of birth: | Dec 15, 1951 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00006785 |
| Booking number: | 2001005719 |
| Booking date: | Sep 19, 2001 |
| Release date: | Sep 19, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POP,IMPROPER TAG |
| Offense date: | Sep 19, 2001 |
| Case number: | 01-71,181 |
| Bond amount: | $895 |