| Date of birth: | Dec 22, 1969 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00044615 |
| Booking date: | May 1, 2011 |
| Release date: | May 2, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | May 1, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | May 1, 2011 |