| Date of birth: | Aug 24, 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00041091 |
| Booking date: | Dec 22, 2009 |
| Release date: | Dec 22, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - SANTA ROSA COUNTY-VOP/PROVIDE ALCOHOL TO PERSON UNDER 21 YOA |
| Offense date: | Dec 22, 2009 |
| Arrest date: | Dec 22, 2009 |