| Date of birth: | Jan 17, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00019198 |
| Booking date: | May 9, 2004 |
| Release date: | May 9, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WORTH LESS CHECK |
| Offense date: | May 9, 2004 |
| Case number: | 01-MM006469AS |
| Bond amount: | $500 |