| Date of birth: | Jun 21, 1950 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00019037 |
| Inmate status: | N |
| Booking number: | WCSO04JBN002278 |
| Booking date: | Jul 8, 2004 |
| Booking age: | 1954 |
| Release date: | Jul 9, 2004 |
| Booking location: | Walton County, FL |
| Booking number: | 2004002808 |
| Booking date: | Apr 22, 2004 |
| Release date: | Apr 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POP |
| Offense date: | Apr 22, 2004 |
| Bond amount: | $1,000 |