| Date of birth: | Apr 9, 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019393 |
| Booking number: | 2004003716 |
| Booking date: | May 25, 2004 |
| Release date: | Jun 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV CT I |
| Offense date: | May 25, 2004 |
| Case number: | 04MM2013 |
| Statute: | DEL.9999.999 - PROVIDING FALSE NAME CT II |
| Offense date: | May 25, 2004 |
| Case number: | 04MM2013 |
| Statute: | 322.34 - DWLSR CT III |
| Offense date: | May 25, 2004 |
| Bond amount: | $5,000 |
| Statute: | 948.06 - VOP(FEL) |
| Offense date: | May 25, 2004 |
| Bond amount: | $5,000 |
| Statute: | DEL.9999.999 - HOLD FOR LOUISIANA |
| Offense date: | May 25, 2004 |
