| Date of birth: | Aug 13, 1976 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016596 |
| Booking date: | Aug 17, 2003 |
| Release date: | Sep 9, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE (REFUSED) |
| Offense date: | Aug 17, 2003 |
| Case number: | 03580CT |