| Date of birth: | May 25, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00012688 |
| Booking number: | 2002004187 |
| Booking date: | Jul 13, 2002 |
| Release date: | Jul 14, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jul 13, 2002 |