| Date of birth: | Mar 20, 1961 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00043319 |
| Booking date: | Oct 23, 2010 |
| Release date: | Nov 9, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Oct 23, 2010 |
| Bond amount: | $1,500 |
| Arrest date: | Oct 23, 2010 |