| Date of birth: | Apr 12, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00041486 |
| Booking date: | Feb 14, 2010 |
| Release date: | Feb 14, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - POCS WO PRESCRIPTION (3 COUNTS) |
| Offense date: | Feb 13, 2010 |
| Arrest date: | Feb 13, 2010 |