| Date of birth: | Nov 21, 1978 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00020642 |
| Booking date: | Sep 12, 2004 |
| Release date: | Sep 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 877.03 - DISORDERLY CONDUCT |
| Offense date: | Sep 12, 2004 |
| Bond amount: | $2,500 |
| Statute: | 843.01 - RESIST WITH VIOLENCE |
| Offense date: | Sep 12, 2004 |
| Bond amount: | $2,500 |
| Statute: | 843.02 - RESIST/OBST/ OFFICER WITHOUT VIOLENCE |
| Offense date: | Sep 12, 2004 |
| Bond amount: | $2,500 |
| Statute: | 784.07 - BATTERY ON A LEO |
| Offense date: | Sep 12, 2004 |
| Bond amount: | $2,500 |