| Date of birth: | May 20, 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00023566 |
| Booking date: | May 9, 2005 |
| Release date: | May 9, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | May 9, 2005 |
| Bond amount: | $1,000 |
| Statute: | DEL.9999.999 - GIVING FALSE NAME TO LEO |
| Offense date: | May 9, 2005 |
| Bond amount: | $1,000 |