| Date of birth: | Sep 4, 1985 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00021239 |
| Booking number: | 2004007834 |
| Booking date: | Oct 31, 2004 |
| Release date: | Nov 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DISORDERLY CONDUCT(BAY COUNTY) |
| Offense date: | Oct 31, 2004 |
| Case number: | 04004146MOMS |
| Bond amount: | $250 |