| Date of birth: | Sep 14, 1972 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00048338 |
| Booking number: | 2012005676 |
| Booking date: | Sep 24, 2012 |
| Release date: | Sep 24, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY-DOMV-TOUCH OR STRIKE(2CTS) |
| Offense date: | Sep 23, 2012 |
| Bond amount: | $2,000 |