| Date of birth: | Aug 3, 1977 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00020818 |
| Booking number: | 2004006868 |
| Booking date: | Sep 27, 2004 |
| Release date: | Sep 30, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - POSS OF LISTED CHEMICALS |
| Offense date: | Sep 27, 2004 |
| Bond amount: | $5,000 |