| Date of birth: | Feb 8, 1977 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 123174 |
| Booking location: | Leon County, FL |
| Statute: | 831.30 1 |
| Release date: | Nov 12, 2004 |
| Offense date: | Nov 12, 2004 |
| Clerk case: | 2004MM8977A1 |
| Charge literal: | FORGERY OF MAKE ALTER PRESCRIPTION 1ST OFF |
| Booking date: | Nov 12, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04037111 |