| Date of birth: | Dec 12, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00022771 |
| Booking number: | 2005002117 |
| Booking date: | Mar 12, 2005 |
| Release date: | Mar 22, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/GA (WAIVER SIGNED) FORGERY/ GEORGIA |
| Offense date: | Mar 12, 2005 |