| Date of birth: | Mar 23, 1959 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00016415 |
| Booking date: | Aug 1, 2003 |
| Release date: | Sep 17, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.1 - POM W/I DIST |
| Offense date: | Aug 1, 2003 |
| Case number: | 03CF1632 |
| Statute: | DEL.9999.999 - HOLD DADE COUNTY BURG,GT |
| Offense date: | Aug 1, 2003 |
| Case number: | F877359 |
