| Date of birth: | Sep 14, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00020507 |
| Booking date: | Sep 1, 2004 |
| Release date: | Sep 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/NOL VALID DL(SANTA ROSA COUNTY) |
| Offense date: | Sep 1, 2004 |
| Bond amount: | $152 |