| Date of birth: | Sep 22, 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00045217 |
| Booking date: | Jul 20, 2011 |
| Release date: | Jul 21, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATT DOMV |
| Offense date: | Jul 20, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Jul 20, 2011 |