| Date of birth: | Jan 18, 1979 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00048316 |
| Booking number: | 2012005621 |
| Booking date: | Sep 21, 2012 |
| Release date: | Sep 22, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Sep 21, 2012 |