| Date of birth: | Jan 26, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 166636 |
| Booking location: | Leon County, FL |
| Release date: | May 4, 2004 |
| Offense date: | Apr 30, 2004 |
| Clerk case: | 2004MM3419A1 |
| Charge literal: | HOLD BROWARD/ DOC- TEMP CUSTODY #9721603CF10A |
| Booking date: | Apr 30, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 04-30-2004 |