| Date of birth: | Feb 9, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00007593 |
| Booking date: | Mar 14, 2001 |
| Release date: | Mar 15, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 401.41.3A - FRAUD SUMMON EMERGENCY MED SERV |
| Offense date: | Mar 14, 2001 |
| Bond amount: | $750 |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Mar 14, 2001 |
| Bond amount: | $750 |