| Date of birth: | Dec 11, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00009354 |
| Booking date: | Aug 21, 2001 |
| Release date: | Aug 21, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/BATTERY |
| Offense date: | Aug 21, 2001 |
| Case number: | 99-3062 |
| Bond amount: | $390 |