| Date of birth: | Oct 25, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00011954 |
| Booking date: | May 6, 2004 |
| Release date: | Jun 11, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | May 2, 2002 |
| Release date: | May 9, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/PASS FORGED INST. 2 CTS |
| Offense date: | May 6, 2004 |
| Case number: | 02CF915 |
| Statute: | 831.02 - UTTERING A FORGED INSTRUMENT 2CTS |
| Offense date: | May 2, 2002 |
| Bond amount: | $2,500 |
