| Date of birth: | Apr 1, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00043158 |
| Booking date: | Sep 28, 2010 |
| Release date: | Sep 29, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.03-1 - CRUELTY TOWARD CHILD W/O GREAT HARM |
| Offense date: | Sep 28, 2010 |
| Bond amount: | $2,500 |
| Arrest date: | Sep 28, 2010 |