| Date of birth: | Dec 30, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00012376 |
| Booking number: | 2002003516 |
| Booking date: | Jun 13, 2002 |
| Release date: | Jun 14, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD ABUSE |
| Offense date: | Jun 13, 2002 |
| Case number: | 04CF1202 |