| Date of birth: | Dec 21, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00016954 |
| Booking date: | Sep 23, 2003 |
| Release date: | Sep 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA - CO ANIMAL CONTROL VIOLATION |
| Offense date: | Sep 23, 2003 |
| Bond amount: | $250 |
