| Date of birth: | Jan 8, 1970 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00014078 |
| Booking date: | Nov 28, 2002 |
| Release date: | Dec 11, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (SIMPLE)DOMV |
| Offense date: | Nov 28, 2002 |
| Statute: | 843.02 - RESIST/OBST/ OFFICER WITHOUT VIOLENCE |
| Offense date: | Nov 28, 2002 |
| Statute: | DEL.9999.999 - HOLD(INS) |
| Offense date: | Nov 28, 2002 |