| Date of birth: | Nov 7, 1981 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019670 |
| Booking number: | 2004004352 |
| Booking date: | Jun 19, 2004 |
| Release date: | Jun 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - DETOX ONLY |
| Offense date: | Jun 19, 2004 |