| Date of birth: | Dec 12, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00014785 |
| Booking date: | Feb 19, 2003 |
| Release date: | Apr 1, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - IMP EXHIBIT F/A (AGG ASSAULT(DOMV) W/WPN) |
| Offense date: | Feb 19, 2003 |
| Case number: | 03MM625S |