| Date of birth: | Feb 9, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00018438 |
| Booking number: | 2004004667 |
| Booking date: | Jul 2, 2004 |
| Release date: | Jul 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/FTA/WORTHLESS CHECKS 3 CTS |
| Offense date: | Jul 2, 2004 |
| Case number: | 03MM10843S |