| Date of birth: | Sep 30, 1982 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020048 |
| Booking number: | 2004005118 |
| Booking date: | Jul 20, 2004 |
| Release date: | Jul 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - GIVING FALSE NAME WHILE LAWFULLY |
| Offense date: | Jul 20, 2004 |
| Bond amount: | $500 |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Jul 20, 2004 |