| Date of birth: | Nov 16, 1959 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00015964 |
| Booking number: | 2003003674 |
| Booking date: | Jun 20, 2003 |
| Release date: | Jun 21, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - OBTAINING PRESCRIPTION DRUGS BY FRAUD 2CTS |
| Offense date: | Jun 20, 2003 |
| Bond amount: | $10,000 |
