| Date of birth: | May 23, 1977 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00045351 |
| Booking number: | 2012005484 |
| Booking date: | Sep 15, 2012 |
| Release date: | Sep 16, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Sep 14, 2012 |
| Bond amount: | $3,500 |
| Arrest date: | Sep 14, 2012 |