| Date of birth: | Aug 19, 1973 |
| Hair: | Red/auburn |
| Eyes: | Hazel |
| Number: | 00020374 |
| Booking date: | Aug 21, 2004 |
| Release date: | Aug 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.6B - POM-20 |
| Offense date: | Aug 21, 2004 |
| Bond amount: | $1,500 |
| Statute: | 893.147 - POP |
| Offense date: | Aug 21, 2004 |
| Bond amount: | $1,500 |
| Statute: | 322.36 - PREMIT UNAUTH PERSON TO DRIVE W/NVDL |
| Offense date: | Aug 21, 2004 |
| Bond amount: | $1,500 |