| Date of birth: | Sep 18, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00042291 |
| Booking date: | May 27, 2010 |
| Release date: | May 27, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.07-2b - BATTERY ON LEO |
| Offense date: | May 26, 2010 |
| Bond amount: | $1,500 |
| Arrest date: | May 26, 2010 |