| Date of birth: | Feb 17, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00022856 |
| Booking number: | 2005002269 |
| Booking date: | Mar 18, 2005 |
| Release date: | Mar 18, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - SANTA ROSA CO. FTA/MISD |
| Offense date: | Mar 18, 2005 |