| Date of birth: | Dec 12, 1976 |
| Hair: | Red/auburn |
| Eyes: | Blue |
| Number: | 00019684 |
| Booking date: | Jun 20, 2004 |
| Release date: | Jun 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POC |
| Offense date: | Jun 20, 2004 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POP |
| Offense date: | Jun 20, 2004 |
| Bond amount: | $2,500 |