| Date of birth: | Mar 5, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00017155 |
| Booking number: | 2003006415 |
| Booking date: | Oct 13, 2003 |
| Release date: | Oct 14, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Oct 13, 2003 |