| Date of birth: | Dec 17, 1984 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00020010 |
| Booking date: | Jul 18, 2004 |
| Release date: | Jul 18, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Jul 18, 2004 |
| Bond amount: | $500 |
| Statute: | 562.111 - ALCOHOL BEVERAGE-POSSESS BY PERSON UNDER 21 YOA |
| Offense date: | Jul 18, 2004 |
| Bond amount: | $500 |
| Statute: | 893.147 - POP |
| Offense date: | Jul 18, 2004 |
| Bond amount: | $500 |