| Date of birth: | Feb 17, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00018787 |
| Booking number: | 2004002156 |
| Booking date: | Mar 28, 2004 |
| Release date: | Mar 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VIOLATION OF PROBATION/FRAUDULENT USE OF A CREDIT CARD |
| Offense date: | Mar 28, 2004 |
| Case number: | 01-2275 |
| Bond amount: | $2,500 |