| Date of birth: | Dec 23, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00024740 |
| Booking date: | Aug 8, 2005 |
| Release date: | Aug 9, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Aug 8, 2005 |
| Bond amount: | $1,000 |
| Statute: | DEL.9999.999 - PROVIDING FALSE NAME WHILE LAWFULLY DETAINED |
| Offense date: | Aug 8, 2005 |
| Bond amount: | $1,000 |