| Date of birth: | Aug 29, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00012025 |
| Booking date: | May 9, 2002 |
| Release date: | May 10, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.061 - FRAUD CREDIT CD |
| Offense date: | May 9, 2002 |
| Bond amount: | $2,000 |
| Statute: | 831.01 - FORGERY |
| Offense date: | May 9, 2002 |
| Bond amount: | $2,000 |