| Date of birth: | Dec 9, 1984 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00043396 |
| Booking date: | Nov 2, 2010 |
| Release date: | Nov 3, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT OF CO WRT/ LEE CO/ VOP/ RT |
| Offense date: | Nov 2, 2010 |
| Case number: | 03MM12503 |