| Date of birth: | Apr 11, 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00015854 |
| Booking date: | Jun 10, 2003 |
| Release date: | Jun 10, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - SANTA ROSA(FTA/PT) |
| Offense date: | Jun 10, 2003 |
| Bond amount: | $250 |
| Statute: | DEL.9999.999 - HOLD SANTA ROSA CO |
| Offense date: | Jun 10, 2003 |
| Bond amount: | $250 |