| Date of birth: | May 14, 1980 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00021039 |
| Booking date: | Oct 16, 2004 |
| Release date: | Oct 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Oct 16, 2004 |
| Bond amount: | $1,000 |