| Date of birth: | Jan 12, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00041079 |
| Booking date: | Dec 21, 2009 |
| Release date: | Dec 22, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.06 - CHILD SUPPORT |
| Offense date: | Dec 21, 2009 |
| Case number: | 2002DR1933 |
| Bond amount: | $500 |