| Date of birth: | May 1, 1978 |
| Hair: | Blond |
| Eyes: | Blue |
| Spn: | 84389 |
| Booking location: | Leon County, FL |
| Statute: | 831.30 1 |
| Release date: | Oct 14, 1998 |
| Offense date: | Oct 14, 1998 |
| Clerk case: | 1998MM13481A1 |
| Charge literal: | MAKE ALTER FORGE PRESCRIPTION |
| Booking date: | Oct 14, 1998 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | TL9839753 |