| Date of birth: | Jan 16, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00040573 |
| Booking date: | Oct 15, 2009 |
| Release date: | Oct 16, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - POCS (CRACK COCAINE) |
| Offense date: | Oct 14, 2009 |
| Bond amount: | $2,500 |
| Statute: | 893.147-1 - POP |
| Offense date: | Oct 14, 2009 |
| Bond amount: | $500 |