| Date of birth: | Oct 2, 1967 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00020490 |
| Booking date: | Aug 31, 2004 |
| Release date: | Aug 31, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 320.261 - IMPROPER TAG; NVDL |
| Offense date: | Aug 31, 2004 |
| Case number: | 04CT2756 |
| Bond amount: | $400 |