| Date of birth: | Dec 3, 1968 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00014342 |
| Booking number: | 2002007884 |
| Booking date: | Dec 29, 2002 |
| Release date: | Dec 30, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - PROVIDE FALSE NAME TO LEO |
| Offense date: | Dec 29, 2002 |