| Date of birth: | Oct 5, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00026957 |
| Booking date: | Feb 16, 2006 |
| Release date: | Feb 16, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/USMS(CHLD SUPP)(WAIVER SIGNED) |
| Offense date: | Feb 16, 2006 |
| Case number: | 047309291140J |