| Date of birth: | Jan 18, 1974 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00021364 |
| Booking number: | 2004008151 |
| Booking date: | Nov 13, 2004 |
| Release date: | Dec 7, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - NVDL |
| Offense date: | Nov 13, 2004 |
| Case number: | 04CT3598S |