| Date of birth: | Sep 30, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00025663 |
| Booking date: | Jan 8, 2006 |
| Release date: | Jan 8, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - BOND REVOKED/VIOLATION OF INJUNCTION |
| Offense date: | Jan 8, 2006 |
| Case number: | 05-3803 |
| Bond amount: | $500 |