| Date of birth: | Jan 17, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00015137 |
| Booking number: | 2003001863 |
| Booking date: | Mar 29, 2003 |
| Release date: | Mar 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Mar 29, 2003 |
| Bond amount: | $350 |