| Date of birth: | Nov 7, 1962 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00043298 |
| Booking number: | 2010005918 |
| Booking date: | Oct 20, 2010 |
| Release date: | Oct 21, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045-1a1 - AGG BATT DOMV |
| Offense date: | Oct 20, 2010 |
| Bond amount: | $500 |
| Arrest date: | Oct 20, 2010 |