| Date of birth: | Jun 20, 1974 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00020862 |
| Booking number: | 2004006975 |
| Booking date: | Oct 1, 2004 |
| Release date: | Oct 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 810.09 - TRESPASS AFT WARN |
| Offense date: | Oct 1, 2004 |
| Bond amount: | $250 |