| Date of birth: | Nov 3, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00003252 |
| Booking number: | 2004003129 |
| Booking date: | May 4, 2004 |
| Release date: | May 5, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/FAILURE TO REDELIVER HIRED PROPERTY |
| Offense date: | May 4, 2004 |
| Case number: | 00CF665CFA |
| Bond amount: | $1,400 |