| Date of birth: | Jun 12, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00017037 |
| Booking date: | Oct 2, 2003 |
| Release date: | Oct 21, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POSS DRUG PARAP |
| Offense date: | Oct 2, 2003 |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - HOLD FOR MISSOURI |
| Offense date: | Oct 2, 2003 |
| Statute: | 941.02 - FFJ/M0 WAIVER SIGNED |
| Offense date: | Oct 2, 2003 |
| Case number: | 03CR737708 |
