| Date of birth: | Aug 28, 1970 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020749 |
| Booking number: | 2004006728 |
| Booking date: | Sep 22, 2004 |
| Release date: | Sep 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR,FTA/ WALTON CO. |
| Offense date: | Sep 22, 2004 |
| Case number: | 03-711 |