| Date of birth: | Nov 16, 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00019574 |
| Booking date: | Nov 12, 2004 |
| Release date: | Nov 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Jun 11, 2004 |
| Release date: | Jun 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Nov 12, 2004 |
| Bond amount: | $2,500 |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Jun 11, 2004 |