| Date of birth: | Oct 9, 1972 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00021108 |
| Booking number: | 2004007546 |
| Booking date: | Oct 21, 2004 |
| Release date: | Oct 21, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA FRAUD ESCAMBIA COUNTY |
| Offense date: | Oct 21, 2004 |
| Bond amount: | $500 |