| Date of birth: | Feb 7, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00013675 |
| Booking number: | 2003006108 |
| Booking date: | Sep 30, 2003 |
| Release date: | Nov 3, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POCS |
| Offense date: | Sep 30, 2003 |
| Case number: | 02CF1990 |