| Date of birth: | Jul 15, 1981 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00048666 |
| Booking number: | 2012006609 |
| Booking date: | Nov 5, 2012 |
| Release date: | Dec 11, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP DWLSR |
| Offense date: | Nov 5, 2012 |
| Case number: | 2012-CT-000281-C |
| Arrest date: | Nov 5, 2012 |