| Date of birth: | Dec 27, 1965 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00021373 |
| Booking date: | Nov 14, 2004 |
| Release date: | Nov 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | Nov 14, 2004 |
| Bond amount: | $1,000 |
| Statute: | 322.03 - NVDL |
| Offense date: | Nov 14, 2004 |
| Bond amount: | $1,000 |