| Date of birth: | Feb 21, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00024303 |
| Booking number: | 2005005491 |
| Booking date: | Jul 3, 2005 |
| Release date: | Jul 3, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA DWLSR/IMPROPER TAG |
| Offense date: | Jul 3, 2005 |
| Bond amount: | $1,023 |