| Date of birth: | Jun 30, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00039555 |
| Booking date: | Jun 25, 2009 |
| Release date: | Jun 25, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Jun 25, 2009 |
| Bond amount: | $2,500 |
| Arrest date: | Jun 25, 2009 |
| Statute: | 893.13-6b - POM -20 GRAMS |
| Offense date: | Jun 25, 2009 |
| Bond amount: | $1,000 |
| Arrest date: | Jun 25, 2009 |
| Statute: | 893.147-1 - POP |
| Offense date: | Jun 25, 2009 |
| Bond amount: | $1,000 |
| Arrest date: | Jun 25, 2009 |
