| Date of birth: | May 19, 1977 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 02008463 |
| Booking number: | WCSO04JBN001540 |
| Booking date: | May 7, 2004 |
| Booking age: | 1926 |
| Release date: | May 13, 2004 |
| Booking location: | Walton County, FL |
| Arresting agency: | Unkn |
| Booking location: | Brevard County, FL |