| Date of birth: | Jul 20, 1981 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019976 |
| Booking number: | 2004004986 |
| Booking date: | Jul 15, 2004 |
| Release date: | Jul 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DRIVE WITH EXPIRED LIC 2CTS |
| Offense date: | Jul 15, 2004 |
| Case number: | 04-288/408 |
| Bond amount: | $500 |