| Date of birth: | Oct 8, 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00021346 |
| Booking date: | Nov 12, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.061 - LEAVING SCENE OF TRAFFIC CRASH PROPERTY DAMAGE >$50 |
| Offense date: | Nov 12, 2004 |
| Bond amount: | $1,000 |