| Date of birth: | Feb 27, 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| Photo date: | Dec 14, 2003 |
| Id number: | 196354 |
| Inmate status: | N |
| Inmate number: | 04004355 |
| Arrest date: | Dec 14, 2003 |
| Booking number: | 325021 |
| Release date: | Dec 17, 2003 |
| Booking location: | Lee County, FL |
| Booking number: | WCSO04JBN002182 |
| Booking date: | Jul 1, 2004 |
| Booking age: | 1949 |
| Release date: | Jul 19, 2004 |
| Booking location: | Walton County, FL |
| Type: | Misdemeanor |
| Description: | OUT OF COUNTY 'HIT'- OKALOOSA COUNTY |
| Court: | County Court |
| Case number: | 893162FDB |
| Agency: | LCSO |