| Date of birth: | Jul 11, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00040500 |
| Booking number: | 2009006199 |
| Booking date: | Oct 5, 2009 |
| Release date: | Oct 8, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV (2 COUNTS) |
| Offense date: | Oct 5, 2009 |
| Bond amount: | $500 |