| Date of birth: | May 18, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00011011 |
| Booking date: | Jan 31, 2002 |
| Release date: | Feb 12, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.03 - OBSTRUCT BY DISGUISE |
| Offense date: | Jan 31, 2002 |
| Statute: | 948.06 - VOP/DWLSR(INDIAN RIVER CHARGE)HOLD |
| Offense date: | Jan 31, 2002 |
| Statute: | 948.06 - VOP/DWLSR (INDIAN RIVER CO) |
| Offense date: | Jan 31, 2002 |
| Case number: | 99-720-CFC |
