| Date of birth: | Feb 10, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00009862 |
| Booking date: | Oct 8, 2001 |
| Release date: | Oct 8, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - PROVIDING FALSE INFORMATION |
| Offense date: | Oct 8, 2001 |
| Bond amount: | $500 |
| Statute: | 322.03 - NO VALID DRIVERS LICENSE |
| Offense date: | Oct 8, 2001 |