| Date of birth: | Oct 21, 1976 |
| Eyes: | Blue |
| Marital status: | Single |
| Inmate number: | 02717 |
| Disability: | No |
| Citizen: | No |
| Booking number: | 04-08249 |
| Booking date: | Oct 16, 2004 |
| Release date: | Oct 26, 2004 |
| Booking location: | Robertson County, TN |
| Statute code: | 39-13-111 |
| Description: | ASSAULT DOMESTIC VIOLENCE |
| Court case: | 84754 |
| Bond type: | Secured Bond |
| Bond amount: | $25,000 |
