| Date of birth: | Dec 22, 1975 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00012428 |
| Booking number: | 2002004082 |
| Booking date: | Jul 8, 2002 |
| Release date: | Jul 21, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 320.261 - ATT TAG ; DWLSR; FALSE INDENTITY TO LEO |
| Offense date: | Jul 8, 2002 |
| Bond amount: | $1,000 |