| Date of birth: | Oct 25, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00019355 |
| Booking date: | May 23, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.6B - POSS CANNABIS-20 |
| Offense date: | May 23, 2004 |
| Bond amount: | $1,500 |
| Statute: | 322.16 - VIO DL(BUSINESS PURPOSE ONLY) |
| Offense date: | May 23, 2004 |
| Bond amount: | $1,500 |
| Statute: | 316.193 - DUI/FELONY |
| Offense date: | May 23, 2004 |
| Bond amount: | $1,500 |