| Date of birth: | Mar 5, 1984 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 170091 |
| Booking location: | Leon County, FL |
| Statute: | 322.212 1 |
| Release date: | Oct 2, 2004 |
| Offense date: | Oct 2, 2004 |
| Clerk case: | 2004CF3472A1 |
| Charge literal: | FRAUD-IMPERSON GIVE FALSE AGE ON DRIVERS LICENSE APPLICATION |
| Booking date: | Oct 2, 2004 |
| Booking agency: | FLORIDA STATE UNIVERSITY POLICE DEPARTMENT TALLAHASSEE |
| Agency report: | 04-3053 |