| Date of birth: | Apr 5, 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00047461 |
| Booking number: | 2012003109 |
| Booking date: | Jun 5, 2012 |
| Release date: | Jun 6, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - SANTA ROSA CO BATTERY DOMV |
| Offense date: | Jun 5, 2012 |
| Arrest date: | Jun 5, 2012 |