| Date of birth: | Mar 23, 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| Booking number: | 2012013261 |
| Booking date: | Nov 19, 2012 |
| Booking location: | Manatee County, FL |
| Statute: | 322.34-10B2 |
| Seq: | 1 |
| Obts: | 4104022016 |
| Description: | DRIVE WHILE LIC SUSP 2ND CONV / HTO |
| Date arrest: | Nov 19, 2012 |
| Book date: | Nov 19, 2012 |
| Book: | 2012013261 |
| Bond amount: | $500 |