| Date of birth: | Mar 6, 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00040410 |
| Booking date: | Sep 25, 2009 |
| Release date: | Sep 25, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-3c - PETIT THEFT THIRD OR SUBS CONVICTION |
| Offense date: | Sep 24, 2009 |
| Bond amount: | $2,500 |
| Arrest date: | Sep 24, 2009 |