| Date of birth: | May 21, 1960 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00019308 |
| Booking date: | May 18, 2004 |
| Release date: | May 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.015 - HILLSBOROUGH COUNTY/LARCENY |
| Offense date: | May 18, 2004 |
| Bond amount: | $1,000 |