| Date of birth: | May 31, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020603 |
| Booking number: | 2004006388 |
| Booking date: | Sep 9, 2004 |
| Release date: | Sep 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POP |
| Offense date: | Sep 9, 2004 |
| Statute: | 893.147 - POM |
| Offense date: | Sep 9, 2004 |