| Date of birth: | May 7, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016152 |
| Booking date: | Jul 7, 2003 |
| Release date: | Jul 7, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Jul 7, 2003 |
| Bond amount: | $2,500 |
| Statute: | 316.061 - LSOA W/PD |
| Offense date: | Jul 7, 2003 |
| Bond amount: | $2,500 |