| Date of birth: | Jul 29, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00019809 |
| Booking number: | 2004004640 |
| Booking date: | Jul 1, 2004 |
| Release date: | Jul 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - COMMIT CIVIL(ALIMONY) |
| Offense date: | Jul 1, 2004 |
| Case number: | 00-4147 |