| Date of birth: | Jun 24, 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019350 |
| Booking number: | 2004003639 |
| Booking date: | May 22, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | May 22, 2004 |
| Bond amount: | $1,000 |
| Statute: | 806.13 - CRIMINAL MISCHIEF |
| Offense date: | May 22, 2004 |
| Bond amount: | $1,000 |
