| Date of birth: | May 15, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00018350 |
| Booking number: | 2004001065 |
| Booking date: | Feb 14, 2004 |
| Release date: | Feb 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATT DOMV |
| Offense date: | Feb 14, 2004 |
| Statute: | 843.02 - RESIST/OBST/ OFFICER WITHOUT VIOLENCE |
| Offense date: | Feb 14, 2004 |