| Date of birth: | Nov 26, 1954 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00022539 |
| Booking number: | 2005001579 |
| Booking date: | Feb 22, 2005 |
| Release date: | Feb 23, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC 12CTS |
| Offense date: | Feb 22, 2005 |
| Case number: | 04MM12485C |
| Bond amount: | $1,000 |