| Date of birth: | Jan 9, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00039966 |
| Booking date: | Aug 8, 2009 |
| Release date: | Aug 8, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | Hold - HOLD FOR AFFORDABLE EXTRADITION SERVICES, INC |
| Offense date: | Aug 8, 2009 |
| Arrest date: | Aug 8, 2009 |