| Date of birth: | May 30, 1982 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00024495 |
| Booking date: | Jul 20, 2005 |
| Release date: | Jul 20, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - BAY CO.(FTA/DWLSR;WC 3CTS;POM |
| Offense date: | Jul 20, 2005 |
| Case number: | 05-379-CTMA |