| Date of birth: | Oct 15, 1954 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00015046 |
| Booking number: | 2003001638 |
| Booking date: | Mar 18, 2003 |
| Release date: | Apr 17, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ GRAND THEFT |
| Offense date: | Mar 18, 2003 |
| Case number: | 96-280CFA |