| Date of birth: | May 25, 1965 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00045013 |
| Booking date: | Jun 24, 2011 |
| Release date: | Jun 24, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045-1a1 - AGG BATTERY DOMV |
| Offense date: | Jun 23, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Jun 23, 2011 |