| Date of birth: | Jul 10, 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00011569 |
| Booking date: | Sep 30, 2002 |
| Release date: | Sep 30, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VIOLATE PROBATION/COMMUNITY CONTROL |
| Offense date: | Sep 30, 2002 |
| Case number: | 02-692 |