| Date of birth: | Apr 14, 1969 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00021044 |
| Booking number: | 2004007408 |
| Booking date: | Oct 16, 2004 |
| Release date: | Oct 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Oct 16, 2004 |