| Date of birth: | Apr 29, 1963 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00010573 |
| Booking date: | Dec 17, 2001 |
| Release date: | Jan 22, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 831.01 - FORGERY (5 CTS) |
| Offense date: | Dec 17, 2001 |
| Case number: | 02-77CFCA |
| Statute: | 831.02 - UTTERING FORGED INSTRUMENT (5 CTS) |
| Offense date: | Dec 17, 2001 |