| Date of birth: | Jun 14, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00039259 |
| Booking number: | 2009003158 |
| Booking date: | May 24, 2009 |
| Release date: | May 25, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV) |
| Offense date: | May 24, 2009 |
| Bond amount: | $1,000 |