| Date of birth: | Oct 1, 1980 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00019030 |
| Booking date: | Apr 22, 2004 |
| Release date: | Apr 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POC |
| Offense date: | Apr 22, 2004 |
| Statute: | 893.147 - POP |
| Offense date: | Apr 22, 2004 |