| Date of birth: | May 25, 1951 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00015585 |
| Booking date: | May 14, 2003 |
| Release date: | May 15, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Offense date: | May 14, 2003 |
| Case number: | 03CF759S |