| Date of birth: | Dec 13, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00018759 |
| Booking number: | 2004002068 |
| Booking date: | Mar 25, 2004 |
| Release date: | Mar 26, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS BY FRAUD/FORGERY |
| Offense date: | Mar 25, 2004 |
| Bond amount: | $3,500 |
| Statute: | 893.13 - OBTAIN OR ATT OBTAIN CS |
| Offense date: | Mar 25, 2004 |
| Case number: | 02CF1051 |
| Bond amount: | $3,500 |