| Date of birth: | Sep 28, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Facility: | MAYO C. I. |
| DC number: | E04689 |
| Custody: | MEDIUM |
| Release date: | Jan 8, 2004 |
| Booking location: | Brevard County, FL |
| Sentence length: | 1Y 6M 0D |
| Discharge date: | Feb 4, 2003 |
| Offense date: | Apr 9, 2002 |
| Offense: | AGG ASSLT-W/WPN NO INTENT TO K |
| County: | BREVARD |
| Case number: | 0261272 |