| Date of birth: | Nov 20, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00017078 |
| Booking date: | Oct 5, 2003 |
| Release date: | Oct 7, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS (DILAUDID) |
| Offense date: | Oct 5, 2003 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POP |
| Offense date: | Oct 5, 2003 |
| Bond amount: | $2,500 |
| Statute: | 316.1935 - FATE LEO |
| Offense date: | Oct 5, 2003 |
| Bond amount: | $2,500 |
