| Date of birth: | Oct 16, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00025212 |
| Booking date: | Sep 18, 2005 |
| Release date: | Sep 19, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - GRAND THEFT |
| Offense date: | Sep 18, 2005 |
| Bond amount: | $1,000 |
| Statute: | 806.13 - CRIMINAL MISCHIEF |
| Offense date: | Sep 18, 2005 |
| Bond amount: | $1,000 |