| Date of birth: | Jan 8, 1986 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021663 |
| Booking number: | 2004008881 |
| Booking date: | Dec 14, 2004 |
| Release date: | Dec 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.612 - CCF |
| Offense date: | Dec 14, 2004 |
| Bond amount: | $2,500 |