| Date of birth: | Aug 27, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00016943 |
| Booking number: | 2003005900 |
| Booking date: | Sep 21, 2003 |
| Release date: | Sep 22, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Sep 21, 2003 |
| Bond amount: | $1,000 |
| Statute: | 893.147 - POP |
| Offense date: | Sep 21, 2003 |
| Bond amount: | $1,000 |