| Date of birth: | Jun 5, 1967 |
| Hair: | Gray |
| Eyes: | Green |
| Spn: | 172155 |
| Booking location: | Leon County, FL |
| Release date: | Dec 30, 2004 |
| Offense date: | Dec 30, 2004 |
| Clerk case: | 2004HH2591A1 |
| Charge literal: | WAKULLA CO #03001036MMMA PWBC X3 |
| Booking date: | Dec 30, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04-42384 |