| Date of birth: | Dec 30, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00021371 |
| Booking date: | Nov 14, 2004 |
| Release date: | Dec 5, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/TEXAS (WAIVER SIGNED) (PAROLE VIOLATION) |
| Offense date: | Nov 14, 2004 |
| Statute: | 941.02 - HOLD (TEXAS PAROLE VIOLATION) |
| Offense date: | Nov 14, 2004 |