| Date of birth: | Oct 31, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00013531 |
| Booking date: | Sep 26, 2002 |
| Release date: | Sep 27, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13 - CRIMINAL MISCHIEF |
| Offense date: | Sep 26, 2002 |
| Statute: | 948.06 - VOP/ RETAIL THEFT |
| Offense date: | Sep 26, 2002 |