| Date of birth: | May 28, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00018626 |
| Booking number: | 2004001776 |
| Booking date: | Mar 13, 2004 |
| Release date: | Mar 14, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31 - VIOLATION OF DOMESTIC VIOLENCE INJUNCTION |
| Offense date: | Mar 13, 2004 |
| Bond amount: | $10,000 |