| Date of birth: | Aug 12, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017987 |
| Booking date: | Jan 9, 2004 |
| Release date: | Feb 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POC(CRACK COCAINE); DWLSR 2DEG MM CT II) |
| Offense date: | Jan 9, 2004 |
| Case number: | 04CF101 |