| Date of birth: | Dec 10, 1983 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00040839 |
| Booking date: | Nov 18, 2009 |
| Release date: | Nov 18, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - SANTA ROSA /FTA |
| Offense date: | Nov 18, 2009 |
| Bond amount: | $350 |
| Arrest date: | Nov 18, 2009 |