| Date of birth: | Sep 6, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00021332 |
| Booking number: | 2004008068 |
| Booking date: | Nov 10, 2004 |
| Release date: | Nov 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ /TEXAS (WAIVER SIGNED) |
| Offense date: | Nov 10, 2004 |