| Date of birth: | May 17, 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00040476 |
| Booking number: | 2012005747 |
| Booking date: | Sep 27, 2012 |
| Release date: | Oct 11, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY-DOMV-TOUCH OR STRIKE |
| Offense date: | Sep 26, 2012 |
| Case number: | 2012 MM 004245 C |