| Date of birth: | Mar 30, 1979 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00020338 |
| Booking date: | Aug 18, 2004 |
| Release date: | Aug 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/PLEA DAY, POM-20,POC |
| Offense date: | Aug 18, 2004 |
| Case number: | 04CF571C |