| Date of birth: | Nov 4, 1973 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00021494 |
| Booking number: | 2004008477 |
| Booking date: | Nov 27, 2004 |
| Release date: | Nov 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - NVDL |
| Offense date: | Nov 27, 2004 |
| Bond amount: | $350 |