| Date of birth: | Apr 15, 1966 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00021685 |
| Booking date: | Dec 17, 2004 |
| Release date: | Aug 1, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - GTA |
| Offense date: | Dec 17, 2004 |
| Case number: | 04CF2826 |
| Statute: | DEL.9999.999 - HOLD-FFJ (WAIVER SIGNED)(CLARENDON CO,SC)AGG.DOMV |
| Offense date: | Dec 17, 2004 |