| Date of birth: | Jan 2, 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00012444 |
| Booking number: | 2002003678 |
| Booking date: | Jun 21, 2002 |
| Release date: | Jun 22, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jun 21, 2002 |