| Date of birth: | Oct 23, 1956 |
| Hair: | Brown |
| Eyes: | Black |
| Inmate number: | 00000447 |
| Booking number: | 2004006074 |
| Booking date: | Aug 28, 2004 |
| Release date: | Aug 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ABUSE OF A DISABLED ADULT |
| Offense date: | Aug 28, 2004 |
| Bond amount: | $1,500 |