| Date of birth: | Sep 11, 1976 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00017492 |
| Booking number: | 2003007189 |
| Booking date: | Nov 14, 2003 |
| Release date: | Dec 9, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POP |
| Offense date: | Nov 14, 2003 |
| Case number: | 02MM3105MMS |