| Date of birth: | May 8, 1963 |
| Hair: | Black |
| Eyes: | Blue |
| Inmate number: | 00047258 |
| Booking number: | 2012005396 |
| Booking date: | Sep 11, 2012 |
| Release date: | Sep 12, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/RT |
| Offense date: | Sep 11, 2012 |
| Case number: | 12 MM 002192C |
| Arrest date: | Sep 11, 2012 |