| Date of birth: | Mar 24, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00034951 |
| Booking date: | Feb 1, 2008 |
| Release date: | Mar 15, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - PRINCIPLE TO GT (RETAIL) |
| Offense date: | Feb 1, 2008 |
| Bond amount: | $4,500 |
| Statute: | 901.11 - PROVIDING FALSE NAME TO LEO |
| Offense date: | Feb 1, 2008 |
| Bond amount: | $1,500 |
| Statute: | 941.02 - FFJ/JEFFERSON CO AL |
| Offense date: | Feb 1, 2008 |
| Case number: | 00527322/320 |