| Date of birth: | Jul 2, 1947 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00010070 |
| Booking date: | Oct 27, 2001 |
| Release date: | Dec 19, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.136A - POCS; POP |
| Offense date: | Oct 27, 2001 |
| Case number: | 01-2129CFSA |
| Statute: | 893.13.6B - POM |
| Offense date: | Oct 27, 2001 |