| Date of birth: | Apr 19, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00041967 |
| Booking date: | Apr 16, 2010 |
| Release date: | Apr 17, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC(5CT'S) |
| Offense date: | Apr 16, 2010 |
| Case number: | 4610MM/082-084,438-439 |
| Arrest date: | Apr 16, 2010 |