| Date of birth: | Apr 14, 1964 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00047337 |
| Booking number: | 2012002808 |
| Booking date: | May 21, 2012 |
| Release date: | May 22, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31-4a - VIOL INJUNCTION PROTECTION DOMESTIC VIOLENCE |
| Offense date: | May 21, 2012 |
| Arrest date: | May 21, 2012 |
