| Date of birth: | Apr 19, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00013422 |
| Booking number: | 2002005700 |
| Booking date: | Sep 15, 2002 |
| Release date: | Sep 15, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC |
| Offense date: | Sep 15, 2002 |
| Case number: | 02005265MMSA |
| Bond amount: | $175 |