| Date of birth: | Jun 15, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00019732 |
| Booking date: | Jun 24, 2004 |
| Release date: | Jun 25, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POSSESSION OF CRACK COCAINE |
| Offense date: | Jun 24, 2004 |
| Statute: | 893.13 - POSSESSION OF MARIJUANA (UNDER 20) |
| Offense date: | Jun 24, 2004 |
| Statute: | 893.147 - POSSESSION OF DRUG PARAPHERNALIA |
| Offense date: | Jun 24, 2004 |
