| Date of birth: | Jan 31, 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00043531 |
| Booking date: | Dec 2, 2010 |
| Release date: | Dec 2, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Dec 1, 2010 |
| Bond amount: | $250 |
| Arrest date: | Dec 1, 2010 |