| Date of birth: | Oct 5, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00026347 |
| Booking date: | Dec 22, 2005 |
| Release date: | Dec 22, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC(2CTS) |
| Offense date: | Dec 22, 2005 |
| Case number: | 04MM12929A |
| Bond amount: | $437 |