| Date of birth: | Apr 3, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00042380 |
| Booking date: | Jun 10, 2010 |
| Release date: | Aug 21, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - CNTRL SUB WO PRESCRIPTION |
| Offense date: | Jun 10, 2010 |
| Case number: | 10CF1139 |
| Bond amount: | $2,500 |