| Date of birth: | Jan 10, 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00046181 |
| Booking number: | 2011006750 |
| Booking date: | Dec 4, 2011 |
| Release date: | Dec 5, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Dec 4, 2011 |
| Bond amount: | $1,000 |