| Date of birth: | Feb 9, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00020112 |
| Booking date: | Jul 26, 2004 |
| Release date: | Oct 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSED TO SIGN CITATION) |
| Offense date: | Jul 26, 2004 |
| Case number: | 04CT2424 |