| Date of birth: | Jan 17, 1978 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00021726 |
| Booking number: | 2004009004 |
| Booking date: | Dec 19, 2004 |
| Release date: | Dec 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 877.03 - DISORDERLY CONDUCT |
| Offense date: | Dec 19, 2004 |
| Bond amount: | $121 |