| Date of birth: | Jan 8, 1968 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00020848 |
| Booking date: | Sep 30, 2004 |
| Release date: | Oct 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - PROVIDE FALSE INFO W/DETAINED |
| Offense date: | Sep 30, 2004 |
| Case number: | 04MM3392 |
| Statute: | 843.15 - HOLD PALM BEACH CO. FTA/DUI,DWLSR |
| Offense date: | Sep 30, 2004 |
| Statute: | 843.15 - PALM BEACH CO(FTA/DUI,DWLSR) |
| Offense date: | Sep 30, 2004 |
| Case number: | 00007095CTC-A0 |
