| Date of birth: | Mar 26, 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00013940 |
| Booking date: | Nov 11, 2002 |
| Release date: | Nov 11, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD SUPPORT COMMIT |
| Offense date: | Nov 11, 2002 |
| Case number: | 90-415-FD |