| Date of birth: | Jan 25, 1974 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00012691 |
| Booking date: | Jul 14, 2002 |
| Release date: | Jul 15, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Jul 14, 2002 |
| Bond amount: | $250 |
| Statute: | DEL.9999.999 - CHILD SUPPORT |
| Offense date: | Jul 14, 2002 |
| Bond amount: | $250 |