| Date of birth: | Jan 10, 1976 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019045 |
| Booking number: | 2004002845 |
| Booking date: | Apr 23, 2004 |
| Release date: | Jan 26, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.61 - CCF/GT |
| Offense date: | Apr 23, 2004 |
| Case number: | 04CF895 |
| Statute: | 948.06 - VOP/FORGERY,OBTAIN PRESCRIPT BY FRAUD |
| Offense date: | Apr 23, 2004 |
| Case number: | 04CF78 |
| Statute: | 948.06 - WALTON CO/VOP/POCS |
| Offense date: | Apr 23, 2004 |
| Case number: | 02-994 |
| Statute: | 948.06 - HOLD WALTON COUNTY/VOP/POCS (HYDROCODONE) |
| Offense date: | Apr 23, 2004 |
| Case number: | 02994 |