| Date of birth: | Oct 20, 1970 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00009504 |
| Booking date: | Sep 2, 2001 |
| Release date: | Sep 2, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC |
| Offense date: | Sep 2, 2001 |
| Case number: | 007098MM |
| Bond amount: | $6,000 |