| Date of birth: | Mar 12, 1979 |
| Hair: | Brown |
| Eyes: | Black |
| Number: | 00016386 |
| Booking date: | Jul 29, 2003 |
| Release date: | Jul 30, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13 - CM(FELONY) |
| Offense date: | Jul 29, 2003 |
| Bond amount: | $2,500 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Jul 29, 2003 |
| Bond amount: | $2,500 |