| Date of birth: | Nov 25, 1964 |
| Hair: | Black |
| Eyes: | Black |
| Inmate number: | 00019208 |
| Booking number: | 2004003270 |
| Booking date: | May 9, 2004 |
| Release date: | May 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | May 9, 2004 |