| Date of birth: | Feb 15, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00013689 |
| Booking number: | 2004003391 |
| Booking date: | May 13, 2004 |
| Release date: | Jul 2, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DUI, FTA OPEN CONTAINER |
| Offense date: | May 13, 2004 |
| Case number: | 02CT2571S |