| Date of birth: | Mar 29, 1963 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00045809 |
| Booking date: | Oct 9, 2011 |
| Release date: | Oct 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13-1b2 - CM 200 DOLS UNDER 1000 DOLS |
| Offense date: | Oct 9, 2011 |
| Bond amount: | $500 |
| Arrest date: | Oct 9, 2011 |
| Statute: | 843.02 - RESIST OFFICER WO VIOLENCE 2 CTS |
| Offense date: | Oct 8, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Oct 8, 2011 |