| Date of birth: | Sep 29, 1952 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00021433 |
| Booking number: | 2004008335 |
| Booking date: | Nov 20, 2004 |
| Release date: | Nov 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - PALM BEACH VOP/BATT DOMV,RAWOV |
| Offense date: | Nov 20, 2004 |