| Date of birth: | Dec 15, 1976 |
| Report: | 2004-22634/1 |
| Arrest date: | Oct 22, 2004 |
| Arrest location: | CORTEZ BV & OREGON JAY RD |
| Booking location: | Hernando County, FL |
| Description: | 322.34 - DRIVE WITH LICENSE REVOKED OR SUSPENDED |
| Description: | 320.061 - ALTER LICENSE TAG/STICKER |