| Date of birth: | Jul 2, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00043079 |
| Booking number: | 2010005290 |
| Booking date: | Sep 15, 2010 |
| Release date: | Sep 17, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Sep 14, 2010 |