| Date of birth: | Jun 20, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00012037 |
| Booking date: | May 10, 2002 |
| Release date: | May 22, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR |
| Offense date: | May 10, 2002 |
| Case number: | 00-2977CTS |
| Statute: | DEL.9999.999 - HOLD(GALLATIN CO, KY) |
| Offense date: | May 10, 2002 |