| Date of birth: | Dec 5, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00014801 |
| Booking date: | Feb 21, 2003 |
| Release date: | Feb 25, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - HOLD/GA/FFJ/(WAIVER SIGNED) |
| Offense date: | Feb 21, 2003 |
| Case number: | 03-89FW |