| Date of birth: | Sep 25, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00009621 |
| Booking date: | Sep 16, 2001 |
| Release date: | Sep 17, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS |
| Offense date: | Sep 16, 2001 |
| Bond amount: | $5,000 |
| Statute: | 893.147 - POP |
| Offense date: | Sep 16, 2001 |
| Bond amount: | $5,000 |