| Date of birth: | Apr 27, 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00013180 |
| Booking date: | Aug 27, 2002 |
| Release date: | Sep 18, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Aug 27, 2002 |
| Statute: | 784.03 - BATTERY |
| Offense date: | Aug 27, 2002 |