| Date of birth: | Mar 28, 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00043146 |
| Booking date: | Sep 26, 2010 |
| Release date: | Sep 26, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - DRIVE WHILE LIC SUSP 1ST OFF |
| Offense date: | Sep 26, 2010 |
| Bond amount: | $250 |