| Date of birth: | Apr 10, 1963 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00019945 |
| Booking number: | 2004004924 |
| Booking date: | Jul 12, 2004 |
| Release date: | Aug 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 810.09 - TRESPASS/POP |
| Offense date: | Jul 12, 2004 |
| Case number: | 04MM2560 |