| Date of birth: | Mar 21, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00020329 |
| Booking date: | Aug 17, 2004 |
| Release date: | Aug 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.136A - POCS/COC |
| Offense date: | Aug 17, 2004 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POP |
| Offense date: | Aug 17, 2004 |
| Bond amount: | $2,500 |
| Statute: | 918.13 - TAMPER W/OR DESTRUCTION OF EVIDENCE |
| Offense date: | Aug 17, 2004 |
| Bond amount: | $2,500 |
