| Date of birth: | Nov 9, 1981 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00009192 |
| Booking number: | 2011004509 |
| Booking date: | Aug 9, 2011 |
| Release date: | Aug 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA/DWLSR |
| Offense date: | Aug 9, 2011 |
| Case number: | 2011CT001378C |
| Arrest date: | Aug 9, 2011 |