| Date of birth: | Sep 15, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00023206 |
| Booking date: | Apr 12, 2005 |
| Release date: | Jun 17, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - PT |
| Offense date: | Apr 12, 2005 |
| Case number: | 05-MM-1135 |
| Bond amount: | $5,000 |