| Date of birth: | Aug 1, 1973 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00019876 |
| Booking date: | Jul 6, 2004 |
| Release date: | Aug 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR |
| Offense date: | Jul 6, 2004 |
| Case number: | 01CT401 |
| Bond amount: | $649 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Jul 6, 2004 |
| Bond amount: | $500 |
