| Date of birth: | Dec 2, 1962 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00018811 |
| Booking number: | 2004002208 |
| Booking date: | Mar 30, 2004 |
| Release date: | Jun 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - POP |
| Offense date: | Mar 30, 2004 |
| Case number: | 04MM895 |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Mar 30, 2004 |
| Case number: | 04MM1005 |
| Statute: | DEL.9999.999 - HOLD/BLOUNT CO SO ONEONTA AL/FTA/CONTROLLED SUBSTANCES |
| Offense date: | Mar 30, 2004 |
| Statute: | 941.02 - FFJ/FTA(CONT SUB)AL (WAIVER SIGNED) |
| Offense date: | Mar 30, 2004 |
| Bond amount: | $7,000 |