| Date of birth: | Oct 17, 1974 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00023567 |
| Booking date: | May 9, 2005 |
| Release date: | May 9, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE (REFUSED) |
| Offense date: | May 9, 2005 |
| Statute: | 318.14 - FAILURE TO SIGN TRAFFIC SUMMONS |
| Offense date: | May 9, 2005 |