| Date of birth: | Aug 1, 1981 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00048899 |
| Booking number: | 2012007293 |
| Booking date: | Dec 9, 2012 |
| Release date: | Dec 11, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA-DWLS |
| Offense date: | Dec 9, 2012 |
| Case number: | 12CT003378F |
| Bond amount: | $350 |
| Arrest date: | Dec 9, 2012 |