| Date of birth: | Feb 14, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | 3101 COLONEL GREG MALLOY RD, CRESTVIEW, FL 32539 |
| Inmate number: | 00019563 |
| Booking number: | 2004004089 |
| Booking date: | Jun 9, 2004 |
| Release date: | Jun 10, 2004 |
| Booking location: | Okaloosa County, FL |
| Arrest number: | OCSO17ARR001166 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/ DOMV |
| Offense date: | Jun 9, 2004 |
| Description: | 948.06.B (Misc Degree Misdemeanor) PROBATION VIOLATION MISD VOP/VOCC |