| Date of birth: | Jun 17, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00003359 |
| Booking date: | Jun 21, 2004 |
| Release date: | Jun 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/AL (WAIVER SIGNED) COVINGTON CO |
| Offense date: | Jun 21, 2004 |
| Statute: | DEL.9999.999 - FFJ/HOLD/COVINGTON CO,AL |
| Offense date: | Jun 21, 2004 |