| Date of birth: | Jul 3, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019497 |
| Booking number: | 2004003933 |
| Booking date: | Jun 3, 2004 |
| Release date: | Jun 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Jun 3, 2004 |
| Bond amount: | $1,000 |
| Statute: | 893.13 - POP |
| Offense date: | Jun 3, 2004 |
| Bond amount: | $1,000 |
