| Date of birth: | Jun 13, 1958 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00021139 |
| Inmate status: | Not In Custody |
| Booking number: | 2004007614 |
| Booking date: | Oct 23, 2004 |
| Release date: | Nov 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking number: | 580332 |
| Booking date: | Feb 18, 2004 |
| Booking location: | Volusia County, FL |
| Booking number: | 540520 |
| Booking date: | Sep 5, 2002 |
| Booking location: | Volusia County, FL |
| Booking number: | 536534 |
| Booking date: | Jul 13, 2002 |
| Booking location: | Volusia County, FL |
| Statute: | 843.15 - FTA/NVDL |
| Offense date: | Oct 23, 2004 |
| Case number: | 04CT1679S |