| Date of birth: | Apr 15, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00047296 |
| Booking number: | 2012002680 |
| Booking date: | May 15, 2012 |
| Release date: | May 17, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - HOLMES COUNTY FTA/DWLSR |
| Offense date: | May 15, 2012 |
| Bond amount: | $500 |