| Date of birth: | 1954 |
| Hair: | Bald |
| Eyes: | Hazel |
| Registration: | 50648 |
| Arresting agency: | St. Johns County Sheriff's Office |
| Booking location: | Florida |
| Details: | CrimeCode: 99.99 CrimeDesc: Out of State Crime Code |
| Description: | 9999 - OTHER CRIME |
| Date convicted: | Oct 14, 1983 |
| Charges: | N/A |