| Date of birth: | Feb 14, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00001101 |
| Booking date: | Dec 23, 1999 |
| Release date: | Dec 23, 1999 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/GRAND THEFT,FORGERY,UFI,DSP,POSS FIREARM,LOITER,RAWOV |
| Offense date: | Dec 23, 1999 |
| Case number: | 99-177-CF |