| Date of birth: | Mar 24, 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00011978 |
| Booking number: | 2002002695 |
| Booking date: | May 4, 2002 |
| Release date: | May 23, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.6B - POM |
| Offense date: | May 4, 2002 |
| Case number: | 02-1322 MM |