| Date of birth: | Jan 5, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00038972 |
| Booking number: | 2009002400 |
| Booking date: | Apr 22, 2009 |
| Release date: | Apr 23, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC (6 CTS) |
| Offense date: | Apr 22, 2009 |
| Case number: | 09-MM-10467-A |
| Arrest date: | Apr 22, 2009 |