| Date of birth: | Jan 19, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00017590 |
| Booking date: | Nov 26, 2003 |
| Release date: | Nov 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WORTH CHECK |
| Offense date: | Nov 26, 2003 |
| Case number: | 03-MM006678S |
| Bond amount: | $156 |