| Date of birth: | Apr 14, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00041433 |
| Booking date: | Feb 7, 2010 |
| Release date: | Feb 8, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Feb 7, 2010 |
| Bond amount: | $339 |
| Arrest date: | Feb 7, 2010 |