| Date of birth: | Jun 27, 1949 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019526 |
| Booking number: | 2004004005 |
| Booking date: | Jun 5, 2004 |
| Release date: | Jun 6, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - THEFT,GRAND |
| Offense date: | Jun 5, 2004 |
| Bond amount: | $2,500 |