| Date of birth: | May 14, 1952 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00005787 |
| Booking date: | Oct 6, 2000 |
| Release date: | Nov 4, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - FUGITIVE FROM JUSTICE/ GEORGIA |
| Offense date: | Oct 6, 2000 |
| Statute: | 810.09 - TRESPASS /GIVE FALSE NAME |
| Offense date: | Oct 6, 2000 |