| Date of birth: | Nov 7, 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00019345 |
| Booking date: | May 22, 2004 |
| Release date: | May 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | May 22, 2004 |
| Bond amount: | $500 |
| Statute: | 316.193 - REFUSAL TO SUBMIT BAC |
| Offense date: | May 22, 2004 |
| Bond amount: | $500 |