| Date of birth: | Jun 29, 1981 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00040244 |
| Booking date: | Dec 26, 2009 |
| Release date: | Dec 26, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY(DOMV) |
| Offense date: | Dec 25, 2009 |
| Bond amount: | $1,000 |
| Arrest date: | Dec 25, 2009 |