| Date of birth: | Feb 3, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00005515 |
| Booking date: | Sep 15, 2000 |
| Release date: | Sep 27, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - COMMITMENT CHILD SUPPORT/ 120 DAYS |
| Offense date: | Sep 15, 2000 |
| Case number: | 78-2513 |