| Date of birth: | Jul 16, 1971 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00017888 |
| Booking number: | 2003008105 |
| Booking date: | Dec 29, 2003 |
| Release date: | Jan 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - PROVIDE FALSE NAME WHILE DETAINED |
| Offense date: | Dec 29, 2003 |
| Bond amount: | $750 |
| Statute: | 322.03 - NVDL |
| Offense date: | Dec 29, 2003 |
| Bond amount: | $750 |
