| Date of birth: | Nov 17, 1962 |
| Hair: | Black |
| Eyes: | Hazel |
| Number: | 00044402 |
| Booking date: | Apr 4, 2011 |
| Release date: | Apr 11, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Apr 3, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Apr 3, 2011 |