| Date of birth: | Oct 31, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017103 |
| Booking date: | Oct 8, 2003 |
| Release date: | Oct 8, 2003 |
| Booking location: | Okaloosa County, FL |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Statute: | 941.02 - FFJ(ARKANSAS,KANSAS;MISSISSIPPI;MISOURI) |
| Offense date: | Oct 8, 2003 |
| Statute: | DEL.9999.999 - HOLD SANTA ROSA |
| Offense date: | Oct 8, 2003 |
