| Date of birth: | Mar 9, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00042826 |
| Booking date: | Aug 8, 2010 |
| Release date: | Aug 9, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC |
| Offense date: | Aug 8, 2010 |
| Case number: | 10-MM-11070 |
| Bond amount: | $427 |
| Arrest date: | Aug 8, 2010 |