| Date of birth: | Apr 12, 1976 |
| Hair: | Bald |
| Eyes: | Brown |
| Number: | 00043463 |
| Booking date: | Nov 16, 2010 |
| Release date: | Nov 16, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - DWLSR |
| Offense date: | Nov 16, 2010 |
| Bond amount: | $350 |
| Arrest date: | Nov 16, 2010 |