| Date of birth: | Dec 10, 1970 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00043313 |
| Booking date: | Oct 22, 2010 |
| Release date: | Oct 23, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05-2 - WC 5 CTS |
| Offense date: | Oct 22, 2010 |
| Case number: | 4610MM10142/10209 |
| Bond amount: | $1,805 |
| Arrest date: | Oct 22, 2010 |