| Date of birth: | Sep 3, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00004170 |
| Booking date: | Jun 18, 2000 |
| Release date: | Jul 27, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 877.111 - POSSESS/BUY/SELL/INHALE/INGEST HARMFUL CHEMICAL SUBST |
| Offense date: | Jun 18, 2000 |
| Case number: | 00-1631MM |