| Date of birth: | Oct 26, 1984 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00040519 |
| Booking date: | Oct 8, 2009 |
| Release date: | Oct 12, 2009 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Grand Forks County, ND |
| Offense: | 90Z VIOLATED SENTENCE |
| Level: | A MISD |
| Issued date: | Dec 2, 2009 |
| Issued by: | GDC |
| Ball: | $0.00 |
| Statute: | 784.03-1a1 - BATTERY (DOMV) TOUCH OR STRIKE |
| Offense date: | Oct 8, 2009 |
| Arrest date: | Oct 8, 2009 |
