| Date of birth: | Jul 27, 1962 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00009716 |
| Booking date: | Jun 9, 2010 |
| Release date: | Jun 9, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - POCS W/O PRESCRIPTION( |
| Offense date: | Jun 8, 2010 |
| Arrest date: | Jun 8, 2010 |
| Statute: | 499.03 - POSS OF NEW LEGEND DRUG W/O PRESC(2CTS) |
| Offense date: | Jun 8, 2010 |
| Arrest date: | Jun 8, 2010 |