| Date of birth: | Sep 22, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00017264 |
| Number: | 00017264 |
| Booking number: | 2004000693 |
| Booking date: | Jan 30, 2004 |
| Release date: | Feb 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Oct 23, 2003 |
| Release date: | Oct 30, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - MISD SIMPLE BATTERY (ORIG CHG WAS FEL BATT DOMV CAUSING GBH) |
| Offense date: | Jan 30, 2004 |
| Case number: | 03CF2095 |
| Statute: | 784.03 - FELONY BATTERY (DOMV) |
| Offense date: | Oct 23, 2003 |
| Bond amount: | $1,000 |