| Date of birth: | Aug 11, 1984 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00018120 |
| Booking number: | 2004000501 |
| Booking date: | Jan 21, 2004 |
| Release date: | Jan 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATT DOMV |
| Offense date: | Jan 21, 2004 |
| Statute: | 322.212.5 - POSS DL W/ALTER DOB |
| Offense date: | Jan 21, 2004 |
