| Date of birth: | Feb 16, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017894 |
| Booking date: | May 26, 2004 |
| Release date: | Jul 26, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Dec 30, 2003 |
| Release date: | Jan 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR |
| Offense date: | May 26, 2004 |
| Case number: | 04CT6C |
| Bond amount: | $591 |
| Statute: | 941.02 - FFJ/AL (WAIVER SIGNED) FTA/POCS |
| Offense date: | May 26, 2004 |
| Statute: | 784.03 - BATTERY (SIMPLE) |
| Offense date: | May 26, 2004 |
| Case number: | 04MM2446C |
| Statute: | 322.34 - DWLSR |
| Offense date: | Dec 30, 2003 |
| Bond amount: | $500 |
