| Date of birth: | 1970 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00050293 |
| Booking number: | 2013003619 |
| Booking date: | Jun 22, 2013 |
| Release date: | Jun 22, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-3a - PETIT 1ST OFF |
| Offense date: | Jun 21, 2013 |
| Arrest date: | Jun 21, 2013 |