| Date of birth: | Aug 21, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020556 |
| Booking number: | 2004006286 |
| Booking date: | Sep 4, 2004 |
| Release date: | Sep 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - PALM BCH CO/ VOP/ BATT-DOMV |
| Offense date: | Sep 4, 2004 |
| Statute: | DEL.9999.999 - PALM BEACH COUNTY |
| Offense date: | Sep 4, 2004 |