| Date of birth: | Apr 22, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00042648 |
| Booking date: | Jul 14, 2010 |
| Release date: | Jul 14, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/VOP VIRGINIA - DANGEROUS DRUGS |
| Offense date: | Jul 14, 2010 |
| Arrest date: | Jul 14, 2010 |