| Date of birth: | Apr 7, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00010014 |
| Booking date: | Nov 20, 2004 |
| Release date: | Jan 17, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP - VOCC; DWLSR, DUI |
| Offense date: | Nov 20, 2004 |
| Case number: | 01CF2015 |
| Statute: | 843.15 - FTA/VIOL ANIMAL CONTROL |
| Offense date: | Nov 20, 2004 |
| Case number: | 04IN1407S |
