| Date of birth: | Dec 26, 1973 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019816 |
| Booking number: | 2004004654 |
| Booking date: | Jul 1, 2004 |
| Release date: | Jul 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/ CO ANIMAL CONTROL VIOL(INF) |
| Offense date: | Jul 1, 2004 |
| Case number: | 04-IN-001960-C |
| Bond amount: | $250 |