| Date of birth: | Jan 18, 1973 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00017515 |
| Booking date: | Nov 17, 2003 |
| Release date: | Nov 19, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Nov 17, 2003 |
| Bond amount: | $150 |