| Date of birth: | Apr 24, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00012940 |
| Booking number: | 2011006400 |
| Booking date: | Nov 15, 2011 |
| Release date: | Nov 16, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-3a - PETIT THEFT |
| Offense date: | Nov 15, 2011 |
| Bond amount: | $250 |
| Arrest date: | Nov 15, 2011 |