| Date of birth: | May 1, 1982 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00009672 |
| Booking date: | Sep 21, 2001 |
| Release date: | Sep 21, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.07 - ASSAULT OR BATTERY ON LAW ENFORCEMENT OFFICER/FIREFIG |
| Offense date: | Sep 21, 2001 |
| Bond amount: | $5,000 |