| Date of birth: | Jun 12, 1976 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00013942 |
| Booking date: | Nov 11, 2002 |
| Release date: | Nov 12, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/ DWLSR |
| Offense date: | Nov 11, 2002 |
| Case number: | 00-579 |
| Bond amount: | $250 |