| Date of birth: | Feb 13, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00045608 |
| Booking number: | 2012002795 |
| Booking date: | May 21, 2012 |
| Release date: | May 23, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - DOMV BATTERY |
| Offense date: | May 20, 2012 |
| Bond amount: | $4,000 |