| Date of birth: | Aug 10, 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00045336 |
| Booking date: | Aug 4, 2011 |
| Release date: | Aug 4, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - DRIVE WHILE LIC SUSP 1ST OFF |
| Offense date: | Aug 3, 2011 |
| Bond amount: | $2,000 |