| Date of birth: | Apr 14, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00012002 |
| Booking number: | 2006000257 |
| Booking date: | Jan 8, 2006 |
| Release date: | Jan 9, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - FALSE INFO LEO |
| Offense date: | Jan 8, 2006 |