| Date of birth: | May 9, 1977 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00012060 |
| Booking date: | May 12, 2002 |
| Release date: | May 12, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMESTIC VIOLENCE) |
| Offense date: | May 12, 2002 |
| Bond amount: | $500 |