| Date of birth: | Aug 23, 1975 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00018886 |
| Booking date: | Apr 7, 2004 |
| Release date: | Apr 26, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD NEGLECT |
| Offense date: | Apr 7, 2004 |
| Case number: | 04CF785 |
| Bond amount: | $10,000 |