| Date of birth: | Feb 11, 1981 |
| Hair: | Bald |
| Eyes: | Brown |
| Number: | 00019620 |
| Booking date: | Jun 15, 2004 |
| Release date: | Jun 15, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSAL) |
| Offense date: | Jun 15, 2004 |
| Statute: | 322.16 - VIOLATE DL REST. |
| Offense date: | Jun 15, 2004 |