| Date of birth: | Mar 18, 1950 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00021927 |
| Booking number: | 2005000155 |
| Booking date: | Jan 5, 2005 |
| Release date: | Jan 27, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - HOLD FOR SANTA ROSA COUNTY/RAWOV,DWLSR,POP |
| Offense date: | Jan 5, 2005 |