| Date of birth: | Aug 11, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00007378 |
| Booking date: | Oct 12, 2005 |
| Release date: | Nov 21, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOCC/FELONY BATTERY,TAMPERING W/WITNESS/VICTIM,BATTERY |
| Offense date: | Oct 12, 2005 |
| Case number: | 04CF718 |