| Date of birth: | Jun 9, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 156379 |
| Booking location: | Leon County, FL |
| Statute: | 901.36 1 |
| Release date: | Feb 12, 2003 |
| Offense date: | Feb 2, 2003 |
| Clerk case: | 2003MM1050A1 |
| Charge literal: | FRAUD-IMPERSON FALSE ID GIVEN TO LEO |
| Booking date: | Feb 2, 2003 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | SO03018246 |