| Date of birth: | Oct 26, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00034263 |
| Booking date: | Nov 19, 2007 |
| Release date: | Nov 20, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.03 - OBSTRUCT BY DISGUISED PERSON |
| Offense date: | Nov 19, 2007 |
| Bond amount: | $50 |