| Date of birth: | Aug 1, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019988 |
| Booking number: | 2004005016 |
| Booking date: | Jul 16, 2004 |
| Release date: | Jul 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - WALTON COUNTY/ AGG BATTERY/DOMV |
| Offense date: | Jul 16, 2004 |