| Date of birth: | Jul 19, 1959 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00022201 |
| Booking number: | 2005000764 |
| Booking date: | Jan 26, 2005 |
| Release date: | Jan 26, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC 2CTS |
| Offense date: | Jan 26, 2005 |
| Case number: | 03-CF-0760-C |
| Bond amount: | $1,500 |