| Date of birth: | Jul 22, 1981 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019378 |
| Booking number: | 2004003688 |
| Booking date: | May 24, 2004 |
| Release date: | May 25, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - SANTA ROSA CO/VOP/ POA BY MINOR |
| Offense date: | May 24, 2004 |
| Bond amount: | $1,000 |