| Date of birth: | Jan 27, 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00024068 |
| Booking date: | Jun 16, 2005 |
| Release date: | Jul 7, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ-LAKE COUNTY INDIANA (WAIVER SIGNED) |
| Offense date: | Jun 16, 2005 |
| Bond amount: | $4,500 |