| Date of birth: | Feb 17, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016094 |
| Booking date: | Jul 4, 2003 |
| Release date: | Jul 4, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.08 - NEGLECT OF CHILD |
| Offense date: | Jul 4, 2003 |
| Bond amount: | $10,000 |
| Statute: | 509.143 - DISORDERLY COND ON PREMISES |
| Offense date: | Jul 4, 2003 |
| Bond amount: | $10,000 |