| Date of birth: | Nov 8, 1979 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00049328 |
| Housing location: | ECHO-SECC |
| Booking number: | 2013000836 |
| Booking date: | Feb 11, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.061 - LSOA W/O GIVING INFORMATION |
| Offense date: | Feb 11, 2013 |
| Bond amount: | $500 |
| Arrest date: | Feb 11, 2013 |