| Date of birth: | Feb 25, 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00043752 |
| Booking date: | Jan 9, 2011 |
| Release date: | Jan 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Jan 9, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Jan 9, 2011 |
| Statute: | 784.03-1a1 - BATT DOMV |
| Offense date: | Jan 9, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Jan 9, 2011 |
