| Date of birth: | Jun 4, 1959 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00016006 |
| Booking number: | 2003003766 |
| Booking date: | Jun 24, 2003 |
| Release date: | Jul 31, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.03 - OBSTRUCTION BY DISGUISED PERSON, DWLSR |
| Offense date: | Jun 24, 2003 |
| Case number: | 03-409 |