| Date of birth: | Sep 25, 1985 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00019733 |
| Booking date: | Jun 24, 2004 |
| Release date: | Jun 25, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Jun 24, 2004 |
| Bond amount: | $750 |
| Statute: | DEL.9999.999 - GIVE FALSE NAME WHILE DETAINED |
| Offense date: | Jun 24, 2004 |
| Bond amount: | $750 |
| Statute: | 893.13 - POP |
| Offense date: | Jun 24, 2004 |
| Bond amount: | $750 |
