| Date of birth: | Apr 4, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00028372 |
| Booking date: | Jun 20, 2006 |
| Release date: | Aug 14, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGG ASSAULT DOMV/LIO 2ND DEG MM ASSAULT |
| Offense date: | Jun 20, 2006 |
| Case number: | 06CF1614S |