| Date of birth: | Jul 22, 1965 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00011478 |
| Booking number: | 2004003154 |
| Booking date: | May 5, 2004 |
| Release date: | Jun 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/GTA |
| Offense date: | May 5, 2004 |
| Case number: | 02CF608 |