| Date of birth: | Oct 2, 1975 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00021389 |
| Booking number: | 2004008205 |
| Booking date: | Nov 15, 2004 |
| Release date: | Dec 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Nov 15, 2004 |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - WASHINGTON CO. VOP/POM-20 |
| Offense date: | Nov 15, 2004 |
| Case number: | 04-625-MMMA |