| Date of birth: | Sep 5, 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 169899 |
| Booking location: | Leon County, FL |
| Statute: | 941.02 |
| Release date: | Sep 29, 2004 |
| Offense date: | Sep 24, 2004 |
| Clerk case: | 2004CF3370A1 |
| Charge literal: | FUGITIVE BAXLEY, GA |
| Booking date: | Sep 24, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 04-199432 |