| Date of birth: | Jun 17, 1976 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00017782 |
| Booking number: | 2003007846 |
| Booking date: | Dec 16, 2003 |
| Release date: | Dec 17, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.011 - ASSAULT (DOMV) |
| Offense date: | Dec 16, 2003 |