| Date of birth: | Dec 30, 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00016995 |
| Booking date: | Sep 27, 2003 |
| Release date: | Sep 27, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - DISORDERLY INTOX |
| Offense date: | Sep 27, 2003 |
| Bond amount: | $400 |
| Statute: | 784.03 - BATTERY (SIMPLE) |
| Offense date: | Sep 27, 2003 |
| Bond amount: | $400 |