| Date of birth: | Jul 12, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021379 |
| Arresting agency: | BCSO |
| Arrest date: | Oct 30, 2012 |
| Booking location: | Brevard County, FL |
| Booking number: | 2004008178 |
| Booking date: | Nov 14, 2004 |
| Release date: | Nov 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ (WAIVER SIGNED) |
| Offense date: | Nov 14, 2004 |
| Statute: | DEL.9999.999 - HOLD FOR INDIANA |
| Offense date: | Nov 14, 2004 |
| Description: | VIOL PROBATION FELONY |