| Date of birth: | Aug 3, 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020004 |
| Booking number: | 2004005047 |
| Booking date: | Jul 17, 2004 |
| Release date: | Jul 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/FISHING HUNTING W/OUT LICENSE |
| Offense date: | Jul 17, 2004 |
| Case number: | 04-IN-692-C |
| Bond amount: | $250 |