| Date of birth: | Nov 19, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00043321 |
| Booking date: | Oct 23, 2010 |
| Release date: | Oct 27, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - SANTA ROSA CO/-BATTERY |
| Offense date: | Oct 23, 2010 |
| Case number: | 10-003847 |
| Arrest date: | Oct 23, 2010 |