| Date of birth: | Mar 20, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00010361 |
| Booking date: | Nov 27, 2001 |
| Release date: | Dec 21, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ AGGRAVATED ASSAULT |
| Offense date: | Nov 27, 2001 |
| Case number: | 98-785CFA |
| Bond amount: | $2,500 |