| Date of birth: | Dec 16, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00046357 |
| Booking number: | 2012000044 |
| Booking date: | Jan 3, 2012 |
| Release date: | Jan 5, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Jan 3, 2012 |
| Arrest date: | Jan 3, 2012 |