| Date of birth: | Jun 22, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00014820 |
| Booking date: | Feb 23, 2003 |
| Release date: | Feb 24, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31 - VIOLATE INJUNCTION FOR PROTECTION AGAINST DOMESTIC VI |
| Offense date: | Feb 23, 2003 |
| Bond amount: | $500 |
