| Date of birth: | Jul 18, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00004561 |
| Booking number: | 2003006504 |
| Booking date: | Oct 17, 2003 |
| Release date: | Oct 20, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - GLADES CO(FEL-VOP-DWLSR) |
| Offense date: | Oct 17, 2003 |