| Date of birth: | Dec 24, 1983 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00017701 |
| Booking number: | 2003007661 |
| Booking date: | Dec 7, 2003 |
| Release date: | Dec 21, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POM-20 GM |
| Offense date: | Dec 7, 2003 |
| Bond amount: | $500 |