| Date of birth: | Dec 1, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 01000922 |
| Number: | 00016803 |
| Booking date: | Jun 17, 2004 |
| Release date: | Jun 18, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking number: | WCSO04JBN001992 |
| Booking date: | Jun 15, 2004 |
| Booking age: | 1938 |
| Release date: | Jun 17, 2004 |
| Booking location: | Walton County, FL |
| Statute: | 843.15 - FTA/ATTACH TAG NOT ASSIGNED |
| Offense date: | Jun 17, 2004 |
| Case number: | 03CT2366S |
| Bond amount: | $156 |