| Date of birth: | Jan 4, 1976 |
| Report: | 2004-11693/1 |
| Arrest date: | May 29, 2004 |
| Arrest location: | 33191 CORTEZ BV |
| Booking location: | Hernando County, FL |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Description: | 784.03 - DOMESTIC BATTERY |