| Date of birth: | Oct 28, 1969 |
| Hair: | Bald |
| Eyes: | Brown |
| Number: | 00020439 |
| Booking date: | Aug 27, 2004 |
| Release date: | Jan 5, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 777.011 - PRINCIPAL/ACCESSORY CC FRAUD |
| Offense date: | Aug 27, 2004 |
| Case number: | 04CF1951 |
| Statute: | 941.02 - FFJ/MO (WAIVER SIGNED)/VIOL PAROLE |
| Offense date: | Aug 27, 2004 |
| Statute: | 817.61 - CC FRAUD/ FEL 2CTS/ GT 2 CTS/MISD 2 CTS |
| Offense date: | Aug 27, 2004 |
| Case number: | 04CF2013 |
| Statute: | 817.61 - FRAUD USE OF CC/ MISD 2CTS; PT 2 CTS |
| Offense date: | Aug 27, 2004 |
| Bond amount: | $3,500 |
