| Date of birth: | Sep 5, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00022029 |
| Booking number: | 2005000415 |
| Booking date: | Jan 13, 2005 |
| Release date: | Jan 14, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - WALTON COUNTY/VIOLATION OF PROBATION |
| Offense date: | Jan 13, 2005 |
| Case number: | 03-1027CF |