| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00045692 |
| Booking number: | 2013003647 |
| Booking date: | Jun 23, 2013 |
| Release date: | Jul 16, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/BATTERY |
| Offense date: | Jun 23, 2013 |
| Case number: | 11-MM-3652-S |
| Arrest date: | Jun 23, 2013 |