| Date of birth: | Apr 3, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019639 |
| Booking number: | 2004004285 |
| Booking date: | Jun 16, 2004 |
| Release date: | Jun 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - SALE CS MDMA ECSTASY |
| Offense date: | Jun 16, 2004 |
| Bond amount: | $2,500 |