| Date of birth: | Dec 22, 1969 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00043282 |
| Booking date: | Oct 18, 2010 |
| Release date: | Oct 19, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - W/C 3 CTS |
| Offense date: | Oct 18, 2010 |
| Case number: | 10-12094/12092/12093 |