| Date of birth: | Dec 19, 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00020335 |
| Booking date: | Aug 18, 2004 |
| Release date: | Sep 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/FTA WC'S 14 CTS |
| Offense date: | Aug 18, 2004 |
| Case number: | 03MM9081 |
| Statute: | 843.15 - FTA/WC |
| Offense date: | Aug 18, 2004 |
| Case number: | 04MM5457C |
