| Date of birth: | Oct 15, 1979 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00045326 |
| Booking date: | Aug 2, 2011 |
| Release date: | Aug 23, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY TOUCH OR STRIKE DOMV |
| Offense date: | Aug 1, 2011 |
| Bond amount: | $20,000 |
| Arrest date: | Aug 1, 2011 |