| Date of birth: | Feb 6, 1972 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00020715 |
| Booking date: | Sep 19, 2004 |
| Release date: | Sep 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 787.04 - CONCEAL MINOR CONTRARY TO C/O |
| Offense date: | Sep 19, 2004 |
| Case number: | 04CF2167 |
| Bond amount: | $2,500 |