| Date of birth: | Nov 24, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00011651 |
| Booking date: | Apr 8, 2003 |
| Release date: | May 21, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/VOCC/AGG ASSAULT BY THREAT |
| Offense date: | Apr 8, 2003 |
| Case number: | 02-704CFA |