| Date of birth: | Mar 19, 1960 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00017845 |
| Booking date: | Dec 23, 2003 |
| Release date: | Dec 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.A - POCS (COCAINE) |
| Offense date: | Dec 23, 2003 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POP |
| Offense date: | Dec 23, 2003 |
| Bond amount: | $2,500 |