| Date of birth: | Oct 9, 1965 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00039738 |
| Booking number: | 2009004226 |
| Booking date: | Jul 12, 2009 |
| Release date: | Jul 13, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV 2CTS) |
| Offense date: | Jul 12, 2009 |
| Arrest date: | Jul 12, 2009 |