| Date of birth: | Jul 19, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00020214 |
| Booking number: | 2004005474 |
| Booking date: | Aug 5, 2004 |
| Release date: | Aug 31, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/TRESPASSING-PROPERTY NOT STRUCTURE OR CONVEY |
| Offense date: | Aug 5, 2004 |
| Case number: | 04MM1829S |