| Date of birth: | Nov 14, 1959 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00018974 |
| Judge name: | Clarence Shattuck |
| Inmate funds: | $0.00 |
| Division: | 3 |
| Court room: | 3 |
| Booking date: | Apr 16, 2004 |
| Release date: | Apr 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Hamilton County, TN |
| Statute: | 893.13 - POP |
| Offense date: | Apr 16, 2004 |
| Bond amount: | $250 |