| Date of birth: | Jun 12, 1965 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00010256 |
| Booking number: | 2004007306 |
| Booking date: | Oct 12, 2004 |
| Release date: | Jan 25, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/POC |
| Offense date: | Oct 12, 2004 |
| Case number: | 01CF2263 |