| Date of birth: | Apr 1, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00012582 |
| Booking date: | Jul 5, 2002 |
| Release date: | Jul 5, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/VOP DWLSR |
| Offense date: | Jul 5, 2002 |
| Case number: | 2000CT0106 |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - HOLD FOR WASHINGTON COUNTY |
| Offense date: | Jul 5, 2002 |
