| Date of birth: | Jan 12, 1970 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00015626 |
| Booking number: | 2004007768 |
| Booking date: | Oct 29, 2004 |
| Release date: | Oct 30, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSAL) |
| Offense date: | Oct 29, 2004 |
| Bond amount: | $5,000 |