| Date of birth: | Aug 15, 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00003544 |
| Booking date: | May 14, 2000 |
| Release date: | May 15, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | May 14, 2000 |
| Statute: | 893.13 - POSS. OF MARIJUANA |
| Offense date: | May 14, 2000 |