| Date of birth: | Sep 14, 1972 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00017949 |
| Booking number: | 2004000096 |
| Booking date: | Jan 4, 2004 |
| Release date: | Jan 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POP |
| Offense date: | Jan 4, 2004 |
| Bond amount: | $500 |