| Date of birth: | Mar 13, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00015903 |
| Booking date: | Jun 15, 2003 |
| Release date: | Jun 15, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13 - CRIMINAL MISCHIEF |
| Offense date: | Jun 15, 2003 |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Jun 15, 2003 |