| Date of birth: | Feb 4, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017684 |
| Booking date: | Dec 6, 2003 |
| Release date: | Dec 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD SUPPORT(ESCAMBIA COUNTY) |
| Offense date: | Dec 6, 2003 |
| Case number: | CJ961296 |