| Date of birth: | Oct 2, 1953 |
| Hair: | Black |
| Eyes: | Brown |
| Facility: | GULF C.I. |
| DC number: | E16131 |
| Custody: | MEDIUM |
| Release date: | Feb 17, 2004 |
| Booking location: | Brevard County, FL |
| Sentence length: | 1Y 0M 18D |
| Discharge date: | Nov 18, 2003 |
| Offense date: | Oct 17, 2001 |
| Offense: | FALS.IMPRSN-NO 787.01 INT |
| County: | BREVARD |
| Case number: | 0164020 |
