| Date of birth: | Jun 20, 1978 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00013162 |
| Booking date: | Aug 26, 2002 |
| Release date: | Aug 26, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 914.22 - OBST JUSTICE/THREAT WITNESS OR VIC INFORMANT |
| Offense date: | Aug 26, 2002 |
| Bond amount: | $1,000 |