| Date of birth: | Feb 17, 1969 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00039610 |
| Booking date: | Jul 1, 2009 |
| Release date: | Jul 1, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Jul 1, 2009 |
| Case number: | 4608MM014227A |
| Bond amount: | $290 |