| Date of birth: | Dec 22, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00018062 |
| Booking number: | 2004008238 |
| Booking date: | Nov 16, 2004 |
| Release date: | Nov 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POC,POP |
| Offense date: | Nov 16, 2004 |
| Case number: | 04-143 |
| Bond amount: | $5,000 |