| Date of birth: | Jul 19, 1980 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019776 |
| Booking number: | 2004004564 |
| Booking date: | Jun 28, 2004 |
| Release date: | Jun 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSAL) |
| Offense date: | Jun 28, 2004 |
| Bond amount: | $1,000 |
| Statute: | 318.14 - REFUSE SIGN CITATION |
| Offense date: | Jun 28, 2004 |
| Bond amount: | $1,000 |
