| Date of birth: | Oct 26, 1979 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019594 |
| Booking number: | 2004004176 |
| Booking date: | Jun 12, 2004 |
| Release date: | Jun 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/NO VALID DL/ COLUMBIA CO. |
| Offense date: | Jun 12, 2004 |
| Case number: | 00-11103 |
| Bond amount: | $1,000 |