| Date of birth: | Feb 17, 1965 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00042993 |
| Booking number: | 2010005035 |
| Booking date: | Sep 1, 2010 |
| Release date: | Sep 1, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA (NVDL) |
| Offense date: | Sep 1, 2010 |
| Case number: | 10-890 |
| Bond amount: | $455 |