| Date of birth: | Apr 24, 1967 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00040412 |
| Booking date: | Sep 25, 2009 |
| Release date: | Sep 25, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.03-1 - CRUELTY TOWARDS CHILD WITHOUT GREAT HARM |
| Offense date: | Sep 24, 2009 |
| Arrest date: | Sep 24, 2009 |