| Date of birth: | Dec 14, 1969 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00006848 |
| Booking date: | Jan 7, 2001 |
| Release date: | Jan 22, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/UTTER FORGE INST (4 CTS) |
| Offense date: | Jan 7, 2001 |
| Case number: | 96-1808CFA |