| Date of birth: | Sep 2, 1983 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00019695 |
| Booking number: | 2004004391 |
| Booking date: | Jun 20, 2004 |
| Release date: | Jun 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC |
| Offense date: | Jun 20, 2004 |
| Case number: | 03-MM-9553-S |
| Bond amount: | $250 |