| Date of birth: | Nov 6, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00040305 |
| Booking number: | 2009005678 |
| Booking date: | Sep 12, 2009 |
| Release date: | Sep 12, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Sep 12, 2009 |
| Arrest date: | Sep 12, 2009 |