| Date of birth: | Apr 7, 1948 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 101681 |
| Booking location: | Leon County, FL |
| Statute: | 741.29 6 |
| Release date: | Jun 16, 2004 |
| Offense date: | Jun 15, 2004 |
| Clerk case: | 2004MM4795A1 |
| Charge literal: | CONDIT RELEASE VIOLATION PRE TRIAL RELEASE COND VIOL FOR DOMEST VIOL |
| Booking date: | Jun 15, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04019362 |