| Date of birth: | Feb 16, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00017386 |
| Booking number: | 2003006908 |
| Booking date: | Nov 1, 2003 |
| Release date: | Nov 2, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Nov 1, 2003 |
| Bond amount: | $5,000 |