| Date of birth: | Oct 23, 1966 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00021543 |
| Booking date: | Dec 4, 2004 |
| Release date: | Dec 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DUI(COLLIER COUNTY) |
| Offense date: | Dec 4, 2004 |
| Bond amount: | $300 |
| Statute: | DEL.9999.999 - HOLD/COLLIER COUNTY |
| Offense date: | Dec 4, 2004 |