| Date of birth: | Jan 29, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00018700 |
| Booking number: | 2004001942 |
| Booking date: | Mar 19, 2004 |
| Release date: | Mar 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Mar 19, 2004 |
| Bond amount: | $500 |