| Date of birth: | Aug 15, 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016279 |
| Booking date: | Jul 19, 2003 |
| Release date: | Sep 18, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.136A - POSS CRACK COCAINE/POP |
| Offense date: | Jul 19, 2003 |
| Case number: | 03CF1419 |