| Date of birth: | Nov 16, 1964 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00022691 |
| Booking number: | 2005001933 |
| Booking date: | Mar 7, 2005 |
| Release date: | Mar 8, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - HOLD FOR SANTA ROSA CO VOP |
| Offense date: | Mar 7, 2005 |