| Date of birth: | Jun 8, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00018028 |
| Booking number: | 2004000309 |
| Booking date: | Jan 13, 2004 |
| Release date: | Jan 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/UFI |
| Offense date: | Jan 13, 2004 |
| Case number: | 97CF1398 |
| Bond amount: | $1,282 |