| Date of birth: | Dec 19, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00012320 |
| Booking date: | Sep 15, 2004 |
| Release date: | Sep 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Jun 8, 2002 |
| Release date: | Jun 12, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Sep 15, 2004 |
| Statute: | 843.15 - FTA/CRIMINAL MISC |
| Offense date: | Jun 8, 2002 |
| Case number: | 01-3145MMSA |
| Bond amount: | $500 |
