| Date of birth: | Mar 27, 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00020942 |
| Booking date: | Oct 8, 2004 |
| Release date: | Oct 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Oct 8, 2004 |
| Bond amount: | $3,500 |
| Statute: | 893.13 - POC(COCAINE) |
| Offense date: | Oct 8, 2004 |
| Bond amount: | $3,500 |