| Date of birth: | Dec 22, 1973 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00020401 |
| Booking date: | Aug 23, 2004 |
| Release date: | Aug 26, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGGRAVATED ASSAULT (DOMV) |
| Offense date: | Aug 23, 2004 |
| Bond amount: | $1,000 |