| Date of birth: | Nov 23, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019222 |
| Booking number: | 2004003298 |
| Booking date: | May 10, 2004 |
| Release date: | May 11, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY/DOMV |
| Offense date: | May 10, 2004 |