| Date of birth: | Dec 12, 1963 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00042517 |
| Booking date: | Jun 28, 2010 |
| Release date: | Jun 30, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - MARION CO/GT/PT/FLEO/EXP DL |
| Offense date: | Jun 27, 2010 |
| Case number: | S099751 |
| Bond amount: | $7,750 |
| Arrest date: | Jun 27, 2010 |