| Date of birth: | Jun 13, 1984 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017428 |
| Booking date: | Nov 6, 2003 |
| Release date: | Nov 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CRIMINAL USE OF PERSONAL ID |
| Offense date: | Nov 6, 2003 |
| Bond amount: | $1,500 |