| Date of birth: | Feb 1, 1981 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00019834 |
| Booking number: | 2004004696 |
| Booking date: | Jul 3, 2004 |
| Release date: | Jul 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY |
| Offense date: | Jul 3, 2004 |
| Bond amount: | $1,500 |