| Date of birth: | May 1, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00009438 |
| Booking number: | 2003005094 |
| Booking date: | Aug 17, 2003 |
| Release date: | Sep 17, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/BATT DOMV |
| Offense date: | Aug 17, 2003 |
| Case number: | 01MM2560S |