| Date of birth: | Sep 9, 1960 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00024685 |
| Booking date: | Aug 4, 2005 |
| Release date: | Aug 4, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - GT |
| Offense date: | Aug 4, 2005 |
| Bond amount: | $2,500 |
| Statute: | 812.019 - DSP |
| Offense date: | Aug 4, 2005 |
| Bond amount: | $2,500 |