| Date of birth: | Jan 21, 1971 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00041665 |
| Booking date: | Mar 10, 2010 |
| Release date: | Mar 10, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV) |
| Offense date: | Mar 10, 2010 |
| Arrest date: | Mar 10, 2010 |