| Date of birth: | Nov 18, 1972 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021172 |
| Number: | 00021172 |
| Booking date: | Nov 1, 2004 |
| Release date: | Nov 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking number: | 2004007695 |
| Booking date: | Oct 26, 2004 |
| Release date: | Oct 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Nov 1, 2004 |
| Statute: | 817.49 - FALSE REPORT COMMISSION OF CRIME |
| Offense date: | Oct 26, 2004 |
| Bond amount: | $500 |
