| Date of birth: | Apr 17, 1963 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00018740 |
| Booking number: | 2004002029 |
| Booking date: | Mar 23, 2004 |
| Release date: | Mar 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK (2CTS) |
| Offense date: | Mar 23, 2004 |
| Case number: | 04-CF000551C |
| Bond amount: | $200 |