| Date of birth: | Aug 19, 1972 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00015368 |
| Booking date: | Apr 20, 2003 |
| Release date: | May 15, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/NEW MEXICO (WAIVER SIGNED) |
| Offense date: | Apr 20, 2003 |
| Statute: | DEL.9999.999 - HOLD FOR NEW MEXICO |
| Offense date: | Apr 20, 2003 |