| Date of birth: | Jun 5, 1969 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019016 |
| Registration: | 15733 |
| Booking number: | 2004002751 |
| Booking date: | Apr 20, 2004 |
| Release date: | Apr 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Kentucky |
| Statute: | 741.31 - VIOLATION INJUNCTION DOMV |
| Offense date: | Apr 20, 2004 |