| Date of birth: | Aug 6, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00014095 |
| Booking date: | Nov 30, 2002 |
| Release date: | Dec 1, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - THEFT |
| Offense date: | Nov 30, 2002 |
| Bond amount: | $1,000 |
| Statute: | 893.147 - POP |
| Offense date: | Nov 30, 2002 |
| Bond amount: | $1,000 |
| Statute: | 893.147 - POM |
| Offense date: | Nov 30, 2002 |
| Bond amount: | $1,000 |