| Date of birth: | Oct 14, 1970 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00045030 |
| Booking date: | Jun 26, 2011 |
| Release date: | Jun 26, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY TOUCH OR STRIKE DOMV |
| Offense date: | Jun 26, 2011 |
| Bond amount: | $500 |
| Arrest date: | Jun 26, 2011 |