| Date of birth: | Dec 28, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 169577 |
| Booking location: | Leon County, FL |
| Release date: | Sep 14, 2004 |
| Offense date: | Sep 13, 2004 |
| Clerk case: | 2004HH1916A1 |
| Charge literal: | HOLD FOR OSCEOLA CO 02TC5958 FTA/VOP/ DWLSR |
| Booking date: | Sep 13, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04-029779 |