| Date of birth: | Oct 26, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00016616 |
| Booking date: | Aug 19, 2003 |
| Release date: | Aug 19, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/PLEA DAY,ANIMAL CONT. VIOLATION |
| Offense date: | Aug 19, 2003 |
| Case number: | 2003 001062C |
| Bond amount: | $250 |