| Date of birth: | Dec 27, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00021422 |
| Booking number: | 2004008295 |
| Booking date: | Nov 19, 2004 |
| Release date: | Nov 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Nov 19, 2004 |
| Bond amount: | $250 |