| Date of birth: | Oct 14, 1969 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00043536 |
| Booking number: | 2010006637 |
| Booking date: | Dec 2, 2010 |
| Release date: | Dec 2, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - WALTON COUNTY/WC X 2 |
| Offense date: | Dec 2, 2010 |
| Bond amount: | $616.27 |
| Arrest date: | Dec 2, 2010 |