| Date of birth: | Nov 11, 1982 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00021038 |
| Booking date: | Oct 16, 2004 |
| Release date: | Oct 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Oct 16, 2004 |
| Bond amount: | $1,000 |
| Statute: | 877.03 - DISORDERLY CONDUCT |
| Offense date: | Oct 16, 2004 |
| Bond amount: | $1,000 |