| Date of birth: | Feb 7, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00040340 |
| Booking date: | Sep 16, 2009 |
| Release date: | Sep 17, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Sep 16, 2009 |
| Bond amount: | $1,000 |
| Statute: | 741.31-4a - VIOL INJUNCTION PROTECTION DOMESTIC VIOLENCE |
| Offense date: | Sep 16, 2009 |
| Bond amount: | $1,000 |
