| Date of birth: | May 30, 1980 |
| Residency: | 1120 HOSPITAL RD, FORT WALTON BEACH, FL 32547 |
| Related offense: | OCSO15OFF004053 |
| Arrest number: | OCSO15ARR003206 |
| Booking location: | Okaloosa County, FL |
| Description: | 784.011. (Second Degree Misdemeanor) SIMPLE ASSLT INTENT THREAT TO DO VIOLENCE |