| Date of birth: | Jan 10, 1972 |
| Hair: | Red/auburn |
| Eyes: | Brown |
| Number: | 00022094 |
| Booking date: | Jan 19, 2005 |
| Release date: | Jan 19, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC |
| Offense date: | Jan 19, 2005 |
| Case number: | 02-MM-4647 |
| Bond amount: | $163 |