| Date of birth: | Jun 22, 1979 |
| Hair: | Bald |
| Eyes: | Brown |
| Inmate number: | 00021486 |
| Booking number: | 2004008448 |
| Booking date: | Nov 25, 2004 |
| Release date: | Dec 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/NVDL |
| Offense date: | Nov 25, 2004 |
| Case number: | 03CT132S |
| Bond amount: | $2,000 |