| Date of birth: | Oct 24, 1984 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00021195 |
| Booking number: | 2004007761 |
| Booking date: | Oct 29, 2004 |
| Release date: | Oct 30, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV)2CTS |
| Offense date: | Oct 29, 2004 |
| Bond amount: | $1,000 |