| Date of birth: | Jun 7, 1978 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00018041 |
| Booking date: | Jan 15, 2004 |
| Release date: | Jan 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Jan 15, 2004 |
| Bond amount: | $500 |