| Date of birth: | May 23, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00025113 |
| Booking number: | 2005007427 |
| Booking date: | Sep 8, 2005 |
| Release date: | Sep 16, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - SEMINOLE CO(WC) |
| Offense date: | Sep 8, 2005 |
| Case number: | 05-003759CFA |
| Bond amount: | $1,000 |