| Date of birth: | Mar 14, 1978 |
| Hair: | Brown |
| Eyes: | Black |
| Inmate number: | 00048765 |
| Booking number: | 2012007092 |
| Booking date: | Nov 30, 2012 |
| Release date: | Nov 30, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.011 - ASSAULT INTENT THREAT TO DO VIOLENCE |
| Offense date: | Nov 30, 2012 |
| Case number: | 12-452-WA |
| Arrest date: | Nov 30, 2012 |