| Date of birth: | Nov 16, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00023594 |
| Booking number: | 2005003940 |
| Booking date: | May 11, 2005 |
| Release date: | May 11, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (SIMPLE) |
| Offense date: | May 11, 2005 |