| Date of birth: | Dec 1, 1959 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00014132 |
| Booking date: | Dec 4, 2002 |
| Release date: | Dec 4, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.1 - POM OVER 20G |
| Offense date: | Dec 4, 2002 |
| Bond amount: | $2,000 |
| Statute: | 893.147 - POSSES DRUG PARAPHERNALIA |
| Offense date: | Dec 4, 2002 |
| Bond amount: | $2,000 |