| Date of birth: | Oct 3, 1960 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00012783 |
| Booking date: | Dec 29, 2008 |
| Release date: | Dec 29, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31-4a - VIOL INJUNCTION PROTECTION DOMESTIC VIOLENCE |
| Offense date: | Dec 28, 2008 |