| Date of birth: | Nov 8, 1961 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00018975 |
| Number: | 00018975 |
| Booking number: | 2004006029 |
| Booking date: | Aug 27, 2004 |
| Release date: | Sep 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Apr 16, 2004 |
| Release date: | Apr 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/BATTERY/DOMV |
| Offense date: | Aug 27, 2004 |
| Case number: | 04MM1210 |
| Bond amount: | $5,000 |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Apr 16, 2004 |