| Date of birth: | Jan 26, 1960 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00015573 |
| Booking number: | 2003002795 |
| Booking date: | May 12, 2003 |
| Release date: | Dec 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - PT(RT)/FALSE ID |
| Offense date: | May 12, 2003 |
| Case number: | 03MM1380D |
| Statute: | DEL.9999.999 - PROVIDING FALSE NAME WHILE DETAINED |
| Offense date: | May 12, 2003 |
| Bond amount: | $2,500 |
| Statute: | DEL.9999.999 - HOLD(WASHINGTON CO) |
| Offense date: | May 12, 2003 |
| Statute: | 948.06 - VOP/GRAND THEFT (WASHINGTON CO) |
| Offense date: | May 12, 2003 |
| Bond amount: | $5,000 |
