| Date of birth: | Oct 23, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017332 |
| Booking date: | Oct 28, 2003 |
| Release date: | Jan 28, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/RETAIL THEFT |
| Offense date: | Oct 28, 2003 |
| Case number: | 01MM1059CA |
| Statute: | DEL.9999.999 - HOLD FOR ESCAMBIA COUNTY/CHILD SUPPORT |
| Offense date: | Oct 28, 2003 |
| Case number: | 853394CA01 |
