| Date of birth: | Feb 21, 1956 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | NORTH MYRTLE BEACH PD |
| Booking number: | NM02041702586 |
| Booking date: | Feb 4, 2017 |
| Booking location: | Horry County, SC |
| Description: | DOMESTIC VIOLENCE 3RD DEGREE |
| Bond amount: | NO BAIL SET |