| Date of birth: | Jan 9, 1968 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00048201 |
| Booking number: | 2012005208 |
| Booking date: | Sep 3, 2012 |
| Release date: | Sep 4, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Sep 3, 2012 |