| Date of birth: | Nov 9, 1981 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00012083 |
| Booking date: | Oct 10, 2004 |
| Release date: | Nov 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Oct 10, 2004 |
| Case number: | 04CT3226 |
| Statute: | DEL.9999.999 - SANTA ROSA/ CO VIOLATION OF PRE-TRIAL RELEASE(POC,POP) |
| Offense date: | Oct 10, 2004 |
| Bond amount: | $10,000 |
| Statute: | DEL.9999.999 - SANTA ROSA CO /VIOLATION OF PRETRIAL/POSS COCAINE |
| Offense date: | Oct 10, 2004 |
| Case number: | 04-475 |