| Date of birth: | May 28, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00048749 |
| Booking number: | 2012006875 |
| Booking date: | Nov 18, 2012 |
| Release date: | Nov 19, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - DOMV BATTERY |
| Offense date: | Nov 18, 2012 |
| Bond amount: | $2,000 |