| Date of birth: | Mar 25, 1983 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00043185 |
| Booking date: | Oct 3, 2010 |
| Release date: | Oct 4, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - TOUCH OR STRIKE |
| Offense date: | Oct 3, 2010 |
| Bond amount: | $100 |
| Arrest date: | Oct 3, 2010 |