| Date of birth: | Nov 16, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00026339 |
| Booking number: | 2005010418 |
| Booking date: | Dec 20, 2005 |
| Release date: | Dec 22, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR(BRADFORD) |
| Offense date: | Dec 20, 2005 |
| Case number: | 05MM31545 |
| Bond amount: | $4,000 |
| Statute: | DEL.9999.999 - HOLD FOR BRADFORD COUNTY |
| Offense date: | Dec 20, 2005 |