| Date of birth: | Nov 22, 1978 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00018037 |
| Booking number: | 2004000337 |
| Booking date: | Jan 14, 2004 |
| Release date: | Jan 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DWLSR/ SANTA ROSA CO. |
| Offense date: | Jan 14, 2004 |
| Case number: | 0340062 |
| Bond amount: | $400 |