| Date of birth: | Nov 3, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00016783 |
| Inmate number: | 00016783 |
| Booking number: | 2004002319 |
| Booking date: | Apr 3, 2004 |
| Release date: | Apr 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Sep 4, 2003 |
| Release date: | Sep 4, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR |
| Offense date: | Apr 3, 2004 |
| Case number: | 03-CT-627-C |
| Bond amount: | $231 |
| Statute: | 322.03 - NDVL |
| Offense date: | Sep 4, 2003 |
