| Date of birth: | Feb 7, 1983 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00043967 |
| Booking date: | Feb 8, 2011 |
| Release date: | Feb 8, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1a - FTA/FRAUD |
| Offense date: | Feb 8, 2011 |
| Case number: | 10CF292S |
| Bond amount: | $10,000 |
| Arrest date: | Feb 8, 2011 |