| Date of birth: | Sep 14, 1958 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00002673 |
| Booking number: | 2002005437 |
| Booking date: | Sep 5, 2002 |
| Release date: | Oct 6, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ DOMV, RAWOV |
| Offense date: | Sep 5, 2002 |
| Case number: | 00-642MMS |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - HOLD FOR SOUTH CAROLINA |
| Offense date: | Sep 5, 2002 |