| Date of birth: | Aug 29, 1982 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00020638 |
| Booking number: | 2004006488 |
| Booking date: | Sep 11, 2004 |
| Release date: | Sep 14, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC/TAYLOR COUNTY |
| Offense date: | Sep 11, 2004 |
| Bond amount: | $500 |