| Date of birth: | Jan 16, 1971 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00017174 |
| Booking date: | Oct 15, 2003 |
| Release date: | Oct 16, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ASSAULT |
| Offense date: | Oct 15, 2003 |
| Bond amount: | $2,000 |
| Statute: | 810.09 - TRESPASS |
| Offense date: | Oct 15, 2003 |
| Bond amount: | $2,000 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Oct 15, 2003 |
| Bond amount: | $2,000 |