| Date of birth: | Feb 15, 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00039512 |
| Booking number: | 2009003737 |
| Booking date: | Jun 20, 2009 |
| Release date: | Jun 29, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - ASSAULT DOMV |
| Offense date: | Jun 13, 2009 |
| Bond amount: | $1,000 |