| Date of birth: | Jun 21, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00020073 |
| Booking number: | 2004005165 |
| Booking date: | Jul 22, 2004 |
| Release date: | Sep 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.02 - OBTAIN PROP BY FRAUD/FALSE PERSON 2CTS/GT/PASS COUNTERF INSRTU/PRIN 1ST DEG 5 CTS |
| Offense date: | Jul 22, 2004 |
| Case number: | 04CF1722 |
| Bond amount: | $5,000 |
