| Date of birth: | Oct 2, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Spn: | 166810 |
| Booking location: | Leon County, FL |
| Statute: | 941.02 |
| Release date: | Jun 29, 2004 |
| Offense date: | Jun 10, 2004 |
| Clerk case: | 2004CF2091A1 |
| Charge literal: | OUT-OF-STATE-FUG-MAINE VOP ASSAULT(DOMESTIC) CS#2002-01008 |
| Booking date: | Jun 10, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | SO04122608 |