| Date of birth: | Nov 5, 1959 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00006933 |
| Booking number: | 2003005923 |
| Booking date: | Sep 23, 2003 |
| Release date: | Sep 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Sep 23, 2003 |
| Statute: | 784.011 - ASSAULT (DOMV) |
| Offense date: | Sep 23, 2003 |