| Date of birth: | Apr 10, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020096 |
| Booking number: | 2004005218 |
| Booking date: | Jul 24, 2004 |
| Release date: | Jul 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POP |
| Offense date: | Jul 24, 2004 |
| Bond amount: | $2,500 |
| Statute: | 893.13 - ATTEMPT/OBTAIN CONT. SUB BY FRAUD(2CTS) |
| Offense date: | Jul 24, 2004 |
| Bond amount: | $2,500 |
