| Date of birth: | Jan 9, 1971 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00043424 |
| Booking date: | Nov 9, 2010 |
| Release date: | Nov 9, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC (3CTS) |
| Offense date: | Nov 9, 2010 |
| Case number: | 4609MM12137,12135 |
| Arrest date: | Nov 9, 2010 |