| Date of birth: | Jul 21, 1966 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00019085 |
| Booking number: | 2004002927 |
| Booking date: | Apr 26, 2004 |
| Release date: | Apr 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Apr 26, 2004 |
| Bond amount: | $1,000 |
| Statute: | 316.061 - LEAVING THE SCENE OF CRASH |
| Offense date: | Apr 26, 2004 |
| Statute: | DEL.9999.999 - NO FINANCIAL RESPONSIBILITY FOR PROPERTY DAMAGE |
| Offense date: | Apr 26, 2004 |
