| Date of birth: | Jul 2, 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00022119 |
| Booking date: | Jan 21, 2005 |
| Release date: | Jan 22, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - EXPIRED DL MORE THAN 4 MONTHS |
| Offense date: | Jan 21, 2005 |
| Bond amount: | $1,000 |