| Date of birth: | Jul 4, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00024882 |
| Booking number: | 2005007894 |
| Booking date: | Sep 23, 2005 |
| Release date: | Sep 30, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ORDER REV BOND/BATTERY(DOMV) |
| Offense date: | Sep 23, 2005 |
| Case number: | 05MM3030 |