| Date of birth: | Oct 18, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | 61 MADGE LANE, SANTA ROSA BEACH, FL 32459 |
| Inmate number: | 11009267 |
| Active: | N |
| Booking number: | B15027643 |
| Booking date: | Jun 9, 2015 |
| Release date: | Jun 9, 2015 |
| Booking location: | Walton County, FL |
| Arrest number: | OCSO17ARR000405 |
| Booking location: | Okaloosa County, FL |
| Violation level: | M |
| Violation description: | SIMPLE ASSLT INTENT THREAT TO DO VIOLENCE (DOMESTIC VIOLENCE) |
| Violation code: | 784.011 |
| Required cash amount: | $0 |
| Obts number: | 6601049036 |
| Court date: | Jul 8, 2015 |
| Clear type: | CASH/SURETY |
| Charge number: | 1 |
| Bond number: | AS3K-288186 |
| Bond amount: | $0 |
| Arrest date: | Jun 9, 2015 |
| Agency case number: | 15002293 |
| Description: | 901.04. OUT OF COUNTY WARRANT OUT OF COUNTY WARRANT |