| Date of birth: | Oct 20, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00016257 |
| Booking number: | 2003004311 |
| Booking date: | Jul 16, 2003 |
| Release date: | Jul 30, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 831.01 - FORGERY 14CTS |
| Offense date: | Jul 16, 2003 |
| Bond amount: | $5,000 |
| Statute: | 831.02 - UFI 14CTS |
| Offense date: | Jul 16, 2003 |
| Bond amount: | $5,000 |
