| Date of birth: | Aug 26, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00013337 |
| Booking date: | Sep 8, 2002 |
| Release date: | Sep 11, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/BATT/ASSAULT PERSON 65 YOA(ORANGE CO) |
| Offense date: | Sep 8, 2002 |
| Statute: | DEL.9999.999 - HOLD FOR ORANGE COUNTY |
| Offense date: | Sep 8, 2002 |