| Date of birth: | Oct 2, 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00011252 |
| Booking date: | Mar 16, 2002 |
| Release date: | Mar 16, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ABUSE OF DISABLED ADULT (DOMV) |
| Offense date: | Mar 16, 2002 |
| Bond amount: | $1,000 |