| Date of birth: | Jan 8, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00010921 |
| Booking number: | 2002000466 |
| Booking date: | Jan 22, 2002 |
| Release date: | Jan 23, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.136A - POSS CONT SUBT |
| Offense date: | Jan 22, 2002 |
| Statute: | 831.30.1 - FRAUD OBTAIN MEDICAL DRUGS |
| Offense date: | Jan 22, 2002 |