| Date of birth: | Apr 16, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00042328 |
| Booking number: | 2010003164 |
| Booking date: | Jun 1, 2010 |
| Release date: | Jun 7, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - BAY COUNTY/FTA - GT |
| Offense date: | Jun 1, 2010 |
| Arrest date: | Jun 1, 2010 |