| Date of birth: | Apr 11, 1977 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00045173 |
| Booking date: | Jul 14, 2011 |
| Release date: | Jul 26, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Jul 14, 2011 |
| Bond amount: | $500 |
| Arrest date: | Jul 14, 2011 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Jul 14, 2011 |
| Bond amount: | $500 |
| Arrest date: | Jul 14, 2011 |