| Date of birth: | Jan 23, 1972 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00041752 |
| Booking date: | Mar 21, 2010 |
| Release date: | Mar 21, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.061-1 - LSOA W/DAM (1000) |
| Offense date: | Mar 20, 2010 |
| Arrest date: | Mar 20, 2010 |