| Date of birth: | Jan 18, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00021681 |
| Booking number: | 2004008919 |
| Booking date: | Dec 16, 2004 |
| Release date: | Dec 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.03 - OBSTRUCTION |
| Offense date: | Dec 16, 2004 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Dec 16, 2004 |