| Date of birth: | Jul 31, 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00015636 |
| Booking date: | May 20, 2003 |
| Release date: | May 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 370.021 - INTERFER W/FWCC LEO |
| Offense date: | May 20, 2003 |
| Bond amount: | $1,000 |
| Statute: | DEL.9999.999 - PROVIDE FALSE NAME TO LEO |
| Offense date: | May 20, 2003 |
| Bond amount: | $1,000 |
| Statute: | 372.57 - NO NON-RESIDENT FISH LIC |
| Offense date: | May 20, 2003 |
| Bond amount: | $1,000 |