| Date of birth: | Feb 5, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00043632 |
| Booking date: | Dec 19, 2010 |
| Release date: | Dec 20, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Dec 19, 2010 |
| Bond amount: | $1,000 |
| Arrest date: | Dec 19, 2010 |