| Date of birth: | Jan 10, 1959 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00021826 |
| Booking date: | Dec 30, 2004 |
| Release date: | Dec 30, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - FRAUD/FAIL TO REDELIVER HIRED LEASED PROPERTY |
| Offense date: | Dec 30, 2004 |
| Bond amount: | $3,500 |