| Date of birth: | Mar 15, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00040510 |
| Booking date: | Oct 7, 2009 |
| Release date: | Oct 15, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.06 - CHILD SUPPORT |
| Offense date: | Oct 7, 2009 |
| Case number: | 07-4129-DR |
| Bond amount: | $1,000 |
| Arrest date: | Oct 7, 2009 |