| Date of birth: | Aug 20, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00046512 |
| Housing location: | ECHO-SECC |
| Booking number: | 2012000444 |
| Booking date: | Jan 24, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Jan 24, 2012 |
| Bond amount: | $500 |