| Date of birth: | Jul 16, 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00017707 |
| Booking number: | 2004003780 |
| Booking date: | May 28, 2004 |
| Release date: | Jun 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/ POP |
| Offense date: | May 28, 2004 |
| Case number: | 03MM3903 |