| Date of birth: | Jul 31, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019276 |
| Booking number: | 2004003439 |
| Booking date: | May 15, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ NC (WAIVER SIGNED) /PROBATION VIOLATION |
| Offense date: | May 15, 2004 |