| Date of birth: | Jan 17, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00015635 |
| Booking date: | May 20, 2003 |
| Release date: | Jun 11, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/GT,BURG TO STRUCTURE |
| Offense date: | May 20, 2003 |
| Case number: | 99-1228CFA |