| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00049273 |
| Booking number: | 2013000695 |
| Booking date: | Feb 3, 2013 |
| Release date: | Feb 4, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Feb 3, 2013 |
| Arrest date: | Feb 3, 2013 |