| Date of birth: | Sep 3, 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Supervision type: | ADMINISTRATIVE PROBATION |
| Supervision begin date: | Mar 12, 2004 |
| Scheduled termination date: | Jan 2, 2006 |
| Inmate status: | DEPORTED |
| DC number: | 753770 |
| Booking location: | Sarasota County, FL |