| Date of birth: | Nov 26, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019521 |
| Booking number: | 2004003999 |
| Booking date: | Jun 5, 2004 |
| Release date: | Jun 6, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 327.35 - BUI |
| Offense date: | Jun 5, 2004 |
| Bond amount: | $1,000 |