| Date of birth: | Apr 13, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00023828 |
| Booking number: | 2005004492 |
| Booking date: | May 29, 2005 |
| Release date: | Jul 5, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - DISORDERLY CONDUCT/POP |
| Offense date: | May 29, 2005 |
| Case number: | 05MM1784 |