| Date of birth: | Feb 4, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00006828 |
| Booking date: | Jan 5, 2001 |
| Release date: | Jan 5, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ WC 3CTS |
| Offense date: | Jan 5, 2001 |
| Case number: | 98-8318MMCA |
| Bond amount: | $878.35 |