| Date of birth: | Nov 11, 1963 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | NORTH MYRTLE BEACH PD |
| Booking number: | NM10261509572 |
| Booking date: | Oct 27, 2015 |
| Release date: | Jan 1, 1970 |
| Booking location: | Horry County, SC |
| Description: | ASSAULT / ASSAULT & BATTERY 3RD DEGREE |
| Bond amount: | NO BAIL SET |