| Date of birth: | Jul 7, 1968 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00039657 |
| Booking date: | Jul 5, 2009 |
| Release date: | Jul 5, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT OF COUNTY WARRANT/WALTON CO/CIVIL COMMIT |
| Offense date: | Jul 5, 2009 |
| Bond amount: | $1,198.18 |
| Arrest date: | Jul 5, 2009 |