| Date of birth: | Oct 30, 1954 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00030261 |
| Booking number: | 2006009713 |
| Booking date: | Nov 25, 2006 |
| Release date: | Dec 7, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC(2 COUNTS) |
| Offense date: | Nov 25, 2006 |
| Case number: | 0MM6127S |