| Date of birth: | May 27, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00047652 |
| Booking number: | 2012003641 |
| Booking date: | Jun 29, 2012 |
| Release date: | Jun 29, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 806.13-1b2 - CRIMINAL MISCH OVER 200 DOLS UNDER 1000 DOLS |
| Offense date: | Jun 28, 2012 |
| Arrest date: | Jun 28, 2012 |